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W O R L D H E A L T H ORGANIZATION
EXECUTIVE BOAED
Twenty-third Session
FIEST KEPOBT OF ÎB1 STANÎJING COMMITTEE ON ADMINISTRATION AN.t) FINANCE
(Preliminary Bepart as required in terns of Eesolution EB22.B16)
There is attachefl for the consideration of the Board, Chapters I to V of
the preliminary report of the Standing Committee on Administration and Finance
(ЕВ23/АГ/3).
ORGANISATION MONDIALE DE LA SANTÉ
EB23/87 í / ^ 27 January 1959
OEIGIML: ENGLISH
EB23/AP/5 page i
FIRST REPORT OP THE STANDING COMMITTEE ON AEMINISTRATION AND FINANCE
(Preliminary Report as required in terms of resolution EB22.R16)
COMENTS
Page
CHAPTER I. BACKGROUND INFORMATION
1. Programme 1
1.1 General Progranmie of Work 1
1.2 Services of General International Interest 2
1.3 Services to Governments 坏
2. Organizational Structure 5
2.1 Headquarters » 5
2.2 Regional Offices 6
5. Sources of Financing of WHO and Joint International Health
Programmes . . . . 8
5.1 Regular Funds . 8
3.2 Malaria Eradication Special Account 12
3.3 Special Account for Research Planning 14
5.4 Special Account for Eradication of Smallpox 15
3.5 Expanded Programme of Technical Assistance 15
5.6 Other Extra-budgetary Funds 17
3.7 Financial Resources (195斗-1959) . . . 19/20
4. The Budgetary Processes and Practices 25
4Л Three-year Budget Cycle under the Regular Budget • • • • • 25
4.2 Programme Planning Prooedure under the Expanded Programme
of Teohnical Assistance 27
4 0 Programming and Allocation Processes in UNICEF 28
4.4 Composition of the Regular Budget 29
EB23/AP/3 page il
ÏÈSË. CHAPTER II. CONTENTS AND MAIN FEATURES OP THE I960 HIOGRAMME
AND BUDGET DOCUMENT
1. Introduction 31
2. Contents of the I 9 6 0 Programme and Budget Document 31
2.1 General 51
2.2 Details 32
J. Form of Presentation
4. Proposed Effective Working Budget for I 9 6 0 35
5. Programme Trends . 36
6. Tentatively Proposed Programme and Estimated Expenditure under the Expanded Programme of Technical Assistance for I 9 6 0 39
7» Operations Planned to be Financed from the Malaria Eradication
Special Account . . . . . 40
8. ' Special Account for Research Planning . • . . 4l
9. Jointly-assisted UNICEP/WHO Projects 42
10. Summary Outline of Activities under all Funds made available or expected to be made available to WHO k2
•11. Additional Projects requested by Governments and not included in the Proposed Programme and Budget Estimates 46
CHAPTER III. CLASSIFICATION AND COMPUTATION OF THE ESTIMATES
1. Introduction . 48
2. Classification 48
Computetitn of the Estimates . 49
Observations of the Committee 54
EB23/AP/3 page i i i
8. 9.
Annex 2.
World Health Assembly Executive Board and its Committees . • . Regional Committees Programme Activities . Regional Offices Expert Committees Other Statutory Staff Costs (see page 111) • • • • • Administrative Services Other Statutory Staff Costs -
Summaries and Detailed Estimates of Expenditure for Regional Activities
Africa Americas South-East Asia . • • . • • Europe . . . . . • . . « , • . . • • • • • • • • • • • • • * • Eastern Mediterranean • Western Facific Inter-Regional and Other Activities . . • .
Annex 3. Sutranaries of Estimated Expenditure under the Expanded Programme of Technical Assistance • . . . .
Explanatory Comments
Annex 1. Summaries, together with Detailed Estimates of Expenditure for Organizational Meetings and Headquarters Activities
Part III. Programmes and Estimates of Expenditure presented in Annex 4, 5 and 6 of Official Records No. 89
Annex 4. Malarias Operations Planned to be Financed from the Malaria Eradication Special Account and including Regular, Technical Assistance and Other Extra-budgetary Funds • 1 斗7
1. Introduction. 3. Programme Activities . . . . . . . . . • • • • • • , • 1 明 4. Regional Officesт Summary 浏
CHAPTER IV. DETAILED EXAMINATION OP THE PROPOSED PROGRAMME AND BUDGET ESTIMATES FOR I960
Introduction
Part I. Proposed Budget Level for I 9 6 0 and Main Items which account for the increase in "hat Level compared with the corresponding Level for 1959 •
Part II. Detailed Analysis of the Proposed Progranme and Budget Estimates, for I960
Page
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EB23/AP/3 page iv
Administrative Services • • • • • • Common Services at Headquarters . • Other Statutory Staff Costs . • • . Africa Americas • • • • • South-East Asia Europe Eastern Mediterranean Western Pacific • Inter-Regional and Other Activities Conclusions • • • •
Annex 5. Research Planning: Operations planned to be Financed from t\ie Special Account 154
Annex 6. Additional Projects Requested by Governments and not included in the Proposed Programme and Budget Estimates • • • • • • • • 155
CHAPTER V. QUESTIONS OP MAJOR IMPORTANCE TO BE CONSIEERED BY THE BOARD
Matters to be considered by the Board in accordance with resolution WHA5.62 of the Fifth World Health Assembly • • • 156
* • • . . •
2. Casual Income • • • • • • • / • • • • • • 159
• • . •
Scale of Assessments •• • • •
. . , . . ^ • » • 斗. Status of Collections of Annual Contributions and Advances to
the Working Capital Fund. л . д . . . i64 • • • . - . ' . v
• ^ . . • •
5. Publications Revolving. Fund 165 • • .
6. Financial Participation by Governments in WHO-assisted Projects in their own Countries 168
7 . The Needs . . 170
7.1 Specific Requests by Governments for Assistance from WHO 170
7.2 Malaria Eradication Special Account I70
7*3 Other Special Accounts 170
Page
Annex 4. (continued)
5 6 7 8 9
10 ]1 12. 13. 1取.
15.
••8 8 8 9 9 0 0 1 1 2
,2
EB23/AP/3 page dcclxxxii
Page
CHAPTER V. (continued)
8. Other Questions of Major Importance to be discussed by the Board 171
9. Other Matters Studied by the Committee 172
9.1 Proposed Appropriation Resolution for the Financial Year I960 • • • 172
9.2 Working Capital Fund Resolution • 177
EB23/AP/3 page vi
LIST OF APPENDICES
1. Jointly-assisted ШПСЕР/WHO projects, included in the proposed programme and
budget estimates for I960
2 . Regional Offices and Field Activities： number of posts and estimated net expenditure in 1958, 1959 and I960 under the Regular Budget, the^Expanded Programme of Technical Assistance (Category I), the Malaria Eradication Special Account and Other Extra-budgetary Funds, by Regions
3. Averages used in the computation of the revised 1959 and proposed I960 budget estimates, as compared with those previously used and to the extent practicable with the average expenditure in the past
Summary tables showing increases and decreases in the proposed programme and budget estimates for I960, compared with the corresponding estimates for 1959, with percentages by Appropriation Section
5. Summary table indicating the main items which account for the increase to $ 1 251 960 in the Proposed Effective Working Budget for I960 compared
with the corresponding level for 1959
6. Detailed, analysis of increases and decreases by main organizational unit or function
7. Estimated costs under the Regular Budget for continuing Projects, projects composed of fellowships only and new projects, for the years 195b, 1959 and I960
8. Proposed Programme and Budget Estimates for i960丨 estimate expenditure for 1958, 1959 and I960 broken down by major subject headings to the extenx
possible
9. study leaves granted to WHO staff, 1950-1958
Ю. council for International Organizations of Medical Sciences - Report by the
Director-General
11. Statistics relating to certain administrative services
！2. proposed Programme and Budget Estimates for I960： amounts included for
fellowships for 1958, 1959 and i960 by Region
13. Summary table showing total Budget, Income, Assessments and Effective
Working Budgets
E B 2 V A P / 3 page v i i
List of Appendices (continued)
14. Scales of Assessments for 1958, 1959 and I960
15. Increases or decreases in contributions of Members for I960 as compared
to 1959
16. Estimated government contributions to WHO-assiste<J projects in their respective countries
LIST ΠCHARTS
Distribution of responsibilities at Headquarters on 51 December 1958
2. Proposed use of I960 Regular Budget by percentages
2. Approved use of 1959 Regular Budget by percentages
if. Estimated expenditure under the Regular Budget for 1958 as compared with the approved 1959 and the proposed I960 estimates
5. Breakdown of estimated net costs of regional activities in 1959 and I960 under the Regular Budget
6. Proposed use of funds under the Regular Budget, the Expanded Programme of Technical Assistance and the Malaria Eradication Special Account in I960,
by percentages
7. Approved use of funds under the Regular Budget, the Expanded Programme of
Technical Assistance and the Malaria Eradication Special Account in 1959,
by percentages
8. Obligations Incurred 195肛1957 and estimated expenditure for 1958> 1959 and I 9 6 0 from funds administered by WHO (the Regular Budget, the Malaria
Eradication Special Account and the Expanded Programme of Technical
Assistance)
9. Total funds devoted or expected to be devoted to international health prograntnes for the years 1 9 5 斗 - 1 9 5 9 from all sources
EB23/AP/3 pa«e 1
CHAPTER I
BACKGROUND INFORMATION
•
1. Programme
1.1 General Programme of Work
In aocordance with Article 28 (g) of the Constitution, the Executive Board
at its fifteenth session, in resolution EB15.R24, submitted to the Eighth World
Health Assembly the general programme of work covering the specific period
1957-1960. The Eighth World Health Assembly, in resolution WHA8,10# considered wthat this programme of work as amended, provides a broad general policy for the
development of detailed annual programmes In the period 1957-1960". This second
general programme of work, setting out the scope of the activities of WHO for the
period, has been used as the guide in preparing the programme proposals for I960.
1.1.2 The second general prograrme of work directs attention to the strengthening
of national health services, the provision of services of general international
interest and the possibility of applying new knowledge to health and medical
problems. The main lines of approach and methods as set out in the progranane aret
(1) national long-term health planning;
(2) co-ordination and stimulation of any appropriate activities having &
direct bearing on health；
(3) evaluation of health work;
(4) research; and
(5) professional and technical education of national health personnel•
1.1.3 TSie services provided under the programme comprise (a) comprehensive
international services on behalf of all governments, and (b) advisory services to
individual governn^nts and groups of governments.
1 Handbook of Resolutions and Decisions, 4th e d " page 2
EB23/AF/3 cage 2
1.2 Services of General International Interest
The World Health Organization provides certain health and medical services of
a world character which can be furnished only by an international agency.
1.2.1 It collects and analyses world epidemiological information, statistics and
other data. In this connexion, inter alia, it:
(a) prepares international epidemiological studies and reports ;
(b) develops international lists and classifications of diseases and ?
causes of death;
(c) develops international standards and methods in epidemiology and
medical and health statistics;
(d) promotes the collection and exchange of information generally in the
fields of epidemiology and health and medical statistics;
(e) co-operates with other international and national organizations and
institutions concerned in these fields.
1.2.2 It co-ordinates research on the international features of medical and
health problems. In this connexion it：
(a) prepares reviews and surveys ;
(b) makes recommendations on techniques for dealing with health and
medical problems (e.g. communicable and other diseases, public health
administration, environmental sanitation, etc.)?
(c) where appropriate, it assists in the co-ordination of research being
undertaken by other international and national organizations.
1.2.3 It provides services to countries and to other4 international organizations
for the definition of, and research into, the purity, potency and other properties
of drugs, antibiotics, vaccines, sera and other substances of medical and health
interest. In this connexion it：
EB25/AP/3 page 3
(a) develops international biological standards；
(b) develops recommended international nomenolature;
(c) develops recommended specifications for pharmaceutical preparations j
(d) advises the responsible international authorities on drugs which are
liable to produce addiction;
(e) generally co-operates with and advises International and national
organizations on problems in these fields.
1.2 .4 It provides services to countries and international organizations on
laboratory procedures and techniques used in medicine and health. It establishes
pathological, bacteriological and other international reference systems•
1.2.5 It deals with health and medical problems arising from the international
movement of persons and goods, in order to prevent the spread of disease with the
minimum of interference to the flow of traffic. In this connexion it:
(a) develops international sanitary arrangements and regulations vrtiich
govern international quarantine procedures；
(b) provides, by radio and weekly publications, information concerning
quarantinable diseases and arrangements, to governments and others directly
concerned;
(c) exchanges information on problems of common interest with other
international organizations concerned in international movement•
1.2.6 It collects, analyses and distributes technical information necessary for
the efficient ôo-operation and improvement of national health services and for
the assistance of research in educational units.
1.2.7 It publishes and distributes a series of international health, medical,
epidemiological and statistical publications•
1.2.8 It co-operates with other international and national organizations in
providing medical and health information arid reference services through library#
bibliographical and other procedures and arrangements•
ЕВ2)/АР/з page 4
1.5 Services to Governments
1.3.1 A primary objective of the WHO is to strengthen national health services
with special emphasis on promotion of public health programmes, which include
prevention and control of the major communicable diseases as well as professional
and technical education of national health personnel. With this objective in
view it gives certain types of assistance to governments and groups of governments.
The terms upon which such assistance is given are that:
(a) the government requests the service；
(b) the government maintains administrative control over the project,
WHO's assistance being complementaryj «
(c) the government shares the cost and provides counterpart and other
personnelj ,
(d) the government makes definite provision for the continuation of the
project on the termination of WHO assistance.
The methods that are employed in rendering this service are various} they
include consultants, demonstrations, training courses, seminars, fellowships,
visiting groups of scientists, special-purpose grants to training institutions and
research centres for stimulation of productive research, and, on a small scale,
provision of specialized equipment for laboratories and occasionally provision of
specialized technical literature.
1.3.5 The areas of emphasis have included services for the control of communicable
disease such as tuberculosis, venereal diseases and treponeraatoses, virus diseases,
leprosy, trachoma, bilharziasis； and programmes have recently been directed towards
eradication of malaria rather than its control. Problems created by the resistance
of insects to insecticides are also being studied. The trend in national long-
term health planning has been directed more towards the integration of specialized
progranmes rather than to mass campaigns in various unrelated fields. An example
of this trend is the use of maternal and child health centres as focal points for
EB25/AP/3 page 5
treatment and prevention of communicable diseases, the organization of environmental
sanitation services, improvement of nutrition, health education activities, dental
health, school health, etc” thus functioning as proper health units. The
broadening interest of the Organization in mental health is reflected in its
activities in the epidemiology of mental disorders including the effects of
technological change； in the organization of country psychiatric services； the
teaching of psychiatry and the training of personnel in mental health work.
Promotion of occupational health through the establishment of institutes of
occupational health is also advancing. For the chronic degenerative diseases,
especially cancer and cardiovascular diseases preparations are under way to enable
the Organization to play its proper role both in co-ordinating research on an
international scale and in determining global epidemiological patterns with a
view to developing adequate control measures.
1„3#4 With this aspect of the programme, WHO plays its role in the mobilization
of all international resources through national health administrations and
international or national non-governmental organizations and multi-lateral or
bilateral intcr-governniental agencies as well as other organisations within the
United Nations system^ and through private foundations.
2• Organizational Structure
2•1 Headquarters
2.1.1 The narrative material given in the proposed programme and budget estimates
for I960 as presented in Cfficial Reoords^No. 89 includes information regarding
the functions and responsibilities of the various Headquarters organizational units,
as well as information regarding the specific activities for which it is proposed
to make provision in I960-
2Д.2 The distribution of responsibilities a.\ Headquarters on 31 December 1958
is shown in： Chart 1.
EB23/AF/5 page б
2.1.3 The following table shows the number of authorized posts under the Regular
Budget and the Malaria Eradication Special Account for each of the years 1 9 5 4 - 1 9 5 9 .
for purposes of comparison, the numbers of posts shown under the Regular Budget
include posts financed in previous years from Technical Assistance funds and take
account, retroactively, of changes in the organizational structure.
TABLE 1. AUTHORIZED POSTS AT HEADQUARTERS FOR THE YEARS 1954-1959
1
Fund 1 9 5 4 1955
1 1956 1 9 5 7 1 9 5 8 Д959
„ * Regular Budget 4 9 1 4 9 9 487 508 526 530
J Malaria Eradication ！ Special Account i
- • - - 28 31
•； j 4 9 1 499 487 5 0 8 554 5 6 1 丨
See paragraph 2.1.3
2.2 Regional Offices
2 ° 2 Л P r i s i o n s relating to regional arrangements are contained in
Chapter XI of the Constitution. The Executive Board, at its eleventh session,
made an organizational study on regionalization1 which sets forth many details
concerning regional operations. There are six regional offices, as follows：
Regional Office for Africa (Brazzaville)
Regional Office for the Americas, Pan American Sanitary Bureau (Washir > n D.C.)
Regional Office for South-East Asia (New Delhi)
Regional Office for Europe (Copenhagen)
Regional Office for the Eastern Mediterranean (Alexandria)
Regional Office for the Western Pacific (Manila)
Handbook of Resolutions and Decisions. 4th ed., page 207
КЬ23/нР/) page 7
2.2.2 In the setting up of the original structure of regional offices, and in
their subsequent development, it has always been accepted that no common pattern
is applicable. Some regional offices took over, or are associated with, pre-
existing regional health organizations. Factors of physical and human geograiAly
must be taken into account in determining the number of regional staff members
employed and the nature of their work. This is particularly true of the employ-
ment of local staff, which is to a large extent a reflection - and implies a
necessary acceptance - of local cultural practices.
2.2.5 A composite statement of the functions and responsibilities of regional
offices is given in the proposed programme and budget estimates for i960
(Official Records No. 89, page 70).
2.2.4 Table 2 shows the number of posts in regional offices authorized for the
period 1954-I959 under the Regular Budget (including posts financed previously
from Teohnical Assistance funds) and under the Malaria Eradioation Special Accowit,
adjusted to take account of changes in the organizational structure Ï
TABLE 2. AUTHORIZED POSTS IN REGIONAL OFFICES FOR THE PERIOD 1954-1959
Region 1954 1955 1956 1957 1958 1959
Region Regular Regular "Regular Regular Regular MESA Total Regular MESA Total
Africa 24 30 35 36 1 37 58 2 40
Americas 54 54 57 56 ^ 1 55 55 1 56
S.E. Asia 63 65 66 67 74 15 89 74 15 89
Europe 28 31 5? ‘51 60 1 61 61 1 62
E . Med. 50 50 54 59 61 11 72 62 11 73
W. Pacific 54 55 59 54 57 8 65 57 8 65
Rotational Admin, and Finance staff for Regional Offices
• «• - 2 4 - 4 4 - 4
275 285 30? 324 5杯6 37 З8З 351 38 389
EB23/A約 page 8
，. Sources of Financing of WHfi and Joint International Health Programmes
3.1 Regular Funds
3.1.1 Assessment of Members
3.1.1.1 Under Article 56 of the Constitution the expenses of WHO are apportioned
among the Members "in accordance with a scale to be fixed by the Health Assembly".
In resolut ion WHA8.5 the Eighth World Health Ass^nbly decided that the soale of
assessment of WHO should be based on that of the United Nations, talcing into accóunt (a) the difference in membership and (b) the establishment of minima and
maxima, including the provision that no country shall be required to pay more per
capita than the per capita contribution of the highest contributor.1 In accordance with the provision of this resolution that WHO should progress towards fu l l appllca-tion of these principles in four annual stages starting in 1956, this decision has
become fully operative as from 1959.
3.1.1.2 Apart from contributions due tvcm M棚bers for each financial year, assess-
ments on new Members in respect of previous financial years also become available,
under the relevant Appropriation Resolutions, for the purpose of financing the
activities of the Organization. Tables.， and 4 show the status of collections of
contributions annually since 1954.
TABLE З. COMPARISON OF ANNUAL COLLECTICSiS OF CONTRIBUTIONS 1954-1958* (BY PERCENTAGES)
Year Tn respect of gross assessments
In respect of assessments of active Members
195^ 81.10 9^.64
1955 78.18 91.88
1956 79.05 95.60
1957 89.20 97.08
1958 89.47 96.24
As at 31 December for each of the years 195斗 to 1958. * *
The largest contributor coxdd not, because of legislative processes, pay its full I955 contribution during the year. If this payment had been received the figures would have been 81.66 per cent, and 95.97 per cent, respectively.
Handbook of Resolutions and Decisions, 4th ed., page 230
ЕВ^З/АР/З page 9
TABLE 4. CURRENT ARREARS OP ACTIVE MEMBERS* (EXPRESSED AS PERCENTAGES OP ACTIVE MEMBERS1 TOTAL ASSESSMENTS )
In respect of budget for
As at 31 December
1954
As at 31 December
1955 ,
As at 31 December
I956
As at 31 December
195'
As at 31 December
1958
1954 5.З6 0.85 0.06 -
1955 _ ** 8.12 0.64 0.11 0.09
1956 _ - 4.40 0.91 0.14
1957 - • 2.92 О.83
Ü958 ш - • З.76
* Not including China
The largest contributor could not, because of legislative processes, pay its full 1955 oontribution during the year. If this payment had been received the figure would have been 4,03 per cent.
J.1.2 Casual Income
ЗЛ.2Л Casual income which may be authorized for use in financing the annual . t . _ .
appropriations includes:
(a) unbudgeted assessments on new Members;
(b) the cash portion of the Assanbly Suspense Account"
(c) amounts transferred from the Publications Revolving Fund; and
(d) miscellaneous income.
The use of such income in financing the annual contributions results in the assess*
ments on Members being reduced correspondingly. Details are given belowt
(a) Assessments on new Members
The assessments on Members Joining the Organization after the adoption by the
Health Assembly of the budget for the year in whioh they join are considered to
represent additional income for usé by the Organization in a subsequent year. Such
assessments have not been budgeted and therefore these amounts have to be taken into
account by the Health Assembly when it approves the next budget' for the Organization
when they are included under the heading of "Casual Income11.
E B 2 3 / A F ' ' 3 page 10
(b) Assembly Suspense Account
In I950, an Assembly Suspense Account was established, to be credited with the
unused budget appropriations for 1950 and 1951, "reserving for the decision of the •• 1
World Health Assembly the ultimate use of the sums placed in thiô account". The
budgetary surpluses for 19妨，1952 arid subsequent years were later paid to the credit
of this account• As these surpluses include contributions assessed against inactive
Members, the Assembly Suspense Account consists of a non-cash portion representing
unpaid contributions due from Members, as well as a cash portion from the unused
balances of contributions. After covering any cash deficit for the year conoerned#
the Assembly Suspense Account has been used from time to time, by transfer J41
accordance with the relevant Appropriation Resolution, for the purpose of financing
part of the Regular Budget.
(c) Publications Revolving Fund
In 19^8, the Director-General was authorized to establish a special Revolving
Fund for Publications - consisting of (a) balances remaining in the similar fund
maintained by the Interim Commission, and (b) proceeds of subscriptions and sales of
WHO publications - to be used exclusively for the purpose of financing the cost of 2
printing additional copies of WHO publications for sale, The Health Assembly
stipulated also that this fund was to be subject to periodic review to determine
whether any such sums accumulated should be withdrawn and added to miscellaneous
income for the current year. The Director-General was authorized in 1953 and
subsequent years to draw on the Publications Revolving Fund, within limits, in order
to give publicity to WHO publications and to defray the costs of distribution and
sales• The Eleventh World Health Assembly appropriated 汆 19 000 available by 3 transfer from the Publications Revolving Fund to help finance the budget for 1959-
(d) Miscellaneous income
Miscellaneous income includes interest on investments, exchange differences,
surrendered obligations of prior years, rebates and refunds, sales of equipment and
supplies, and charges levied in connexion with the procurement by the Organization ôf
supplies for governments. Gifts and bequests, acceptable under certain cceiditions,
1 WHA3.105, II, Handbook of Resolutions and Decisions,杜th ed., page 248
WHAl.92, Handbook of Résolutions and Décisions, 4th ed” page 249
、WHA11.47 Off. Rec. Wld Hlth Org. 87, 37
EB25/AP/3 page 11
are treated as miscellaneous income. In addition, surplus funds in the Publications
Revolving Fund may, if so decided by the Health Assembly, be added to miscellaneous
income.
In 1955 the balance of the account for the transferred assets of the Office
international d'Hygiène publique was transferred to miscellaneous income.
Originally this account was established following the signature, on 22 July 19林
of the Protocol concerning the dissolution of the Office when its assets were
transferred to the WHO. In the resolution effecting the transfer the Health
Assembly provided that these assets should be devoted to epidemiological work.'*
At the t _ e when the proposed programme and budget estimates for I960 were prepared
no funds had Ьессипе available from this source to help finance the I960 budget. Similarly no furvjls have become available or are expected to become available from
t h i s source in 1 9 5 9 鲁
Reimbursement from the Special Account of the Expanded Programme of Technioal Assistance
Arising out of developnents affecting the participation of WHO and other 5' ； v . “ ‘
organizations in the United Nations Expanded Programme of Technical Assistance^ the
administrative and operational services costs of that programme have been merged
with the estimates for the Regular Budget as shown in the proposed programme and
budget estimates for i960 (Official Records No. 89К Towards these costs 5n 1959
and i960 an amount of $ 724 000 in each year is expected to be reimbursed to WHO
from the Special Account of the Expanded Programme of Technical Assistance. Apart
therefore from the casual income which may be authorised for use in financing the
annual appropriations as described in paragraph 3-1.2 above, it is expected that
reimbursements made from the Special Account towards the administrative and
operational services costs of the Expanded Programme will become available in future
to help finance the annual budgets. Accordingly, in the proposed Appropriation
Resolution for i960 as presented in Offloial ReoordiB No. 89 (page .1，）provision is
made for the appropriation voted by the Twelfth World Health Assembly to be financed
in part by the amount expected to be "available by reimbursement from the Special
Account of the Expanded Programme of Technical Assistance". 1 VÍHA3.98 Handbook of Resolutions and Decisions, 4th ed., page 222
EB23/AF/3 page 12
3.1.4 Working Capital Fund
3.1.4.1 The First World Health Assembly established a Working Capital Fund in
order to provide a reserve to finance the activities of the Organization pending
the receipt of contributions from Member States. It was also designed to provide
funds to meet unforeseen or extraordinary expenses for which provision was not made
in the annual budget approved by the Health Assembly. This fund is replenished In
the first case by the contributions when received in respect of the year to whioh
they relate, and in the second ease by making provision in the estimates to be
submitted to the next oonvening Health Assembly, unless the expenditure is
recoverable from other sources. The fund is financed by advances from Members in
amounts assessed by the Health Assembly. These advances do not constitute eoritri-
butions to the Organization but continue to etand to the credit of the individual
Member States. The Working Capital Fund established by the Eleventh World Health
Assembly for the year 1959 totalled $ 3 奶2 525 at 31 Deeember 1958. Of this amount
$ l8o 696 represente^ the advance due from China, and $ 795 represented amounts
due from those Members who had not yet resumed aotive participation In the work of
the Organization, so that the amount effectively available in the Working Capital
Fund was $ 3 I87 О34.
5.1.5 Executive Board Special Fund
The Seventh World Health Assembly established, in accordance with Article Ç8
of the Constitution, the "Executive Board Special Fond" in the amount of $ IOO 000.
and authorized the Board to use the Fund to meet emergencies and unforeseen
contingencies.^
З.2 Malaria Eradication Special Account
З.2.1 The Eighth World Health Assembly, in resolution WHA8.30, 2 having decided
that the World Health Organization "should take the initiative, provide technical
advice, and encourage research and co-ordination of resources in the•implementation
of a programme having as its ultimate objective the world-wide eradication of
malaria”，authorized the Directors-General "to obtain financial contributions for -
WHA7.24 Handbook of Resolutions and Decisions, 4th ed., page 2 ""“' ' '
Handbook of Resolutions and Decisions, 4th e d” page 48
EB23/AF/3 cage 13
malaria eradication from .governmental and private sources". The Health Assembly
further established, under Financial Regulations 6.6 and б 7 a "Malaria Eradication
Speoial Account", subject to the following rules:
"(1> The Special Account shall be credited with voluntary contributions
received in any usable currency and shall also be credited with the value
of contributions in kind, whether in the form of services or supplies and
equipment.
(2) The resources in the Special Account shall be available for incurring obligations for the purposes set out in (3) below, the unexpended balances of the Account being carried forward from one financial year to the next»
(3) The Special Account shall be used for the purpose of meeting the costs
ofî
(a) research；
(b) such supplies and equipnent, apart from minimal requirements to be
provided from Regular and Technical Assistance funds, as are necessary
for the effective implementation of the programme in individual countries:
and
(c) such services as may be required j.n individual countries and as cannot be made available by the governments of such countries.
(4) The operations planned to be financed from the Special Account shall be presented separately in the annual programme and budget estimates, this pre-sentation to include an indication as to whether the resources required are. known to be available in the Special Account or from another source.
(5) In accordance with F i n a n c i a l Regulations 6.6 and 11 the Special Account shall be maintained as a separate account, and its operations shall be presented separately in the Director-General's financial report."
3.2.2 In resolution WHA11.171 the Eleventh World Health Assembly authorized the
Executive Board to delegate to the Chairman of the Board the authority conferred upon
it in paragraph IV (1) of resolution WHA8.50 to accept contributions to the Special
Account as provided under Article 57 of the Constitution, provided the Director-
General has determined that such contributions can be utilized in the programme.
1 Off. Rec. Wld Hlth Org. 87, 25 2 Handbook of Resolutions and Decisions,坧th ed., page 48
EB23/AP/3 page 21/798
The Executive Board at its twenty-second session, in resolution EB22.R1 1 delegated 2
such authority to the Chairman of the Board and, in resolution EB22.R3 dissolved
the Committee on iVIalaria Eradication which it had previously constituted in pursuance
of the authority vested in it by paragraph IV of resolution WHA8.30^ of the Eighth
World Health Assembly.
3.2.3 As at 31 Deceiver 1957 the total value of contributions to the Special
Account was 铋 5 0Д6 909. By 31 December 1958 the total contributions were
^ 5 202 010.
Э.2.Д In accordance with resolution WHA8.30 of the Eighth World Health Assembly
the operations being or planned to be financed from the Melaria Eradication Special
Account are presented separately in Annex Д of the Director-General's proposed
programme and budget estimates for I 9 6 0 )
3,3 Special Account for Research Planning
3,3.1 Ths Eleventh World Health Assembly, having studied a proposal submitted by
the delegation of the United States of America for the development of a plan for an
intensified research programme, and its offer of additional funds for this purpose,
in resolution WHA11.35,^ authorized the Director-General "to take the necessary steps
to receive the contribution of y 300 ООО from the United States of America" and
requested him to establish a special account for the following purposes:
n(l) to organize and arrange for a special study of the role of WHO in researdi and of ways in which the Organization might assist more adequately in stimulating and co-ordinating researdi and developing research personnelj
(2) to prepare a plan on the basis of such study in the furtherance of research, for transmission to the twenty-third session of the Executive Board and t& the Twelfth World Health Assembly, with cost estimates,"
1 Off. Rec. Wld Hlth Org. 88, 3 2 o f f ' R e e ' 雅 Hlth Org. 88, U
3 Hari(jjpook of Resolutions and Decisions, 4th e d” page Д8
“ Off. Rec. Wld Hlth Org. 89 5 Off. Rec. ШЛ Hlth Org. 32
EB23/AF/3 cage 15
3 #3,2 In the same resolution the Eleventh World Health Assembly requested the
Director-General "to present the operations financed or planned to be financed from
this special account separately in the annual programme and budget estimates and to
include the operations of the account separately in the annual financial report".
3.3.3 As requested by ths Eleventh World Health Assembly, the Director-General has
established a Special Account for Research Planning and is presenting to the
Executive Board and to the Twelfth World Health Assembly a. plan, based on
the special etudy arranged by Mia ov the role of WHO in research anâ vays
in 此ich the Organization might assist more adequately in stimulating and co-
ordinating research and developing research personnel. Mearadiile, the estimated
costs of the operations being financed from the Special Account in 1958 and 1959
within the amount of 益 300 ООО contributed Ъу the United States of America are
presented separately in Annex 5 of the proposed programme and budget estimates for
I960 (Official Records No. 89).
3.4 Special Account for Eradication of Smallpox
Pursuant to resolution ЕВгг.Н.ЗЛп which the Executive Board at its twenty-
second session accepted, in accordance with Article 57 of tne Constitution, gifts
of smallpox vaccine offered by the Governments of Cuba and the Union of Soviet .
Socialist Republics, the Director-General has established, under the provisions of
Financial Regulations 6.6 and 6.7 a special account, to be credited with the value,
as reported by the governments concerned, of these gifts of vaccine and of any gifts
for the same purpose tóiich may be accepted by the Board or the Кз^ЬЬ Assembly in the future. As yet the value of these gifts has not been reported.
3.5 Expanded. Programme of Technical Assistance
3,5,1 Щ addition to the activities under its regular programme and those financed
from the Malaria Eradication Special Account and the Special Account for Research
Planning, WHO is also responsible for the healtti aspects of general er.onomic
development programmes undertaken under the United Nations E^anded Programe of
Technical Assistance for the Economic Development of Under-developed Countries.
Since 1951, WHO has participated, along with the United Nations and other specialized
agencies, in this programme. Funds for the programme are derived from voluntary
contributions pledged and paid by governments to the Special Account for the United
Nations S^anded Prograons® of Teóhnical Assistance.
1 … ” w Пг. 88. 7
EB23/AF/3 cage 16
3 > 5 > 2 Table 5 shows the amounts obligated by ТШО under the Expanded Programme of
Technical Assistance during the years 1954-1957 as well as the amounts expected to
be obligated in 1958 and 1959：
TABLS 5
Year
In respect of Administrative and Operational Services Costs
In respect of Approved Projects
In respect of Local Costs Obligations
Total
$ i 粒 i?
1954 559 30Л 3 08Д 569 110 672 3 754 545
19^5 61Д 110 3 608 795 188 8Д4 Д 411 749
1956 608 660 4 Д68 аб 375 028 5 452 504
1957 657 054 U U O 739 430 18Д 5 527 977
1958 724 ООО Д 594 ЗДЗ Д52 300 5 770 6ДЗ
1959 72厶 ООО U 317 300 432 ООО 5 473 300.
3.5.3 The amount shown, in Table 5 above in respect of approved projects for 1959
equals the amount of the initial earmarkings (approximately 92.6 per cent, of the
approved programme) to Щ0 from contributions and general resources after deduction
of the luitç-sum allocation of | 724 000 for administrative and operational services
costs, and the amount shown in respect of local costs obligations equals the estimated
local costs expected to be recoverable from recipient governments under the Local
Costs Plan, based on experience as to the proportion of planned man days actually
delivered. The allocations approved by the Technical Assistance Committee are as
follows:
(1) In respect of administrative and operational services costs 724 000
(2) “ “ approved projects 732 Д00
⑶ ’ ， “ initial local costs assessments 617 200
翁 6 073 600
EB23/AF/3 cage 17
3.5.Д. The annual programmes carried on under the Expanded Programme are recommended
by the Technical Assistance Brard"1" and approved by the Technical Assistance 2
Committee, the latter bodjr also authorizing the allocation of funds to implement
the programme, based on requests from governments. Details of the policy and the procedures governing country programming and allecation w ere reported to the Board)
д
and to the World Health Assembly. Under these procedures, governments negotiate
the technical aspects of their proposed programme with the appropriate participating
organization (in the case of 通 0 with the appropriate regional office) and prepare
their total requests in the light of their needs and their national development
plans. The projects to be included in tho country programme and their relative
priority within the total programme are determined by the governments concerned«
The amounts available fron t his source to finance health projects are therefore
dependent (a) on the total resources derived from funds voluntarily contributed te
the special account by gevernments, and (b) on the priority which governments give
to health work within their integrated country programmes•
3*6 Other Extra-Budgetary Funds
The column in the annual programme and budget estimates headed "other Extra-
Budgetary Funds" contains cost estimates relating to such requirements as are
expected to be met from funds other than tho Regular Budget, the Malaria Eradication
Special Account, or the Expanded Programme of Technical Assistance funds* The
sources ef such other extra-budgetary funds include the United Nations Children's
Fund, the Pan American Health Organization and other agencies, as described below*
1 The Technical Assistance Board (TAB) consists of the Executive Heads (er their
representatives) of the United Nations and of the specialized agencies that partici-pate in the Expanded Programme of Technical Assistance.
2 The Technical Assistance Ccanmittee (TAC) is a standing committee of the wh。le
of the Economic and Social Council, plus six other members, which makes examinations of activities undertaken in the programme, ехги.апзз ?nd approves each year's pro-gramme, authorizes the allocation of funds, interprets the basic resolution (EGOSOC 222 (IX)) establishing the programme, and performs other functions relating to the programme on behalf of the Economic and Social Council.
3 Off. Rec. Fid Hlth Org, 68, Annex 14 and Off, Rec* Wld HLth Org, 76, Annex 15 L 一 一
Off. Rec. Wld Hlth Org. 71, Annex 13 and Off. Rec, >ad Hlth Org» 79, Annex 5
EB23/AF/3 cage 18
3.6.1 United Nations Children：з Fund
3.6.1.1 The activities of UNICEF are financed from voluntaiy contribution©,
primarily from governments, and are r e l a t e d by the Executive Board of UNICEF,
which is congos éd. of representatives of the States forming the Social Commission
of the United Nations Economic and Social Council, together with representatives
of eight other States not necessarily Members of the United Nations.
3.6.1.2 UNICEF丨s primary responsibility in jointly-assisted UWICEF/WHO projects
is to provide supplies and equipment. The principles governing co-operation
between WHO and UNICEF were approved by the Second World Health Assembly in resolution
ША2.2Д. Under those principles the Director-General of Щ0 studies and 印proves、.
plans of operations�for all health programmes which fall within the policies laid
down by the UNICEF/WHO Joint Committee on Health Policy and for which countries may
request supplies and equipment, from UNICEF。 All international health personnel,
agreed with governments as necessary for the implementation of any jointly-assisted
UNICEF/WHO health projects, are made available by WHO. Ths amounts 池ich WHO is
able to provide towards the costs of such expert health personnel on joint projects
depend upon WHO'S budget resources and upon the requirement that WHO must maintain
a balanced public health programme..
3.6.1.3 The Eighth world Health Assembly, in resolution WHA8.12, requested "the
Directçr-General to i n d M e in his annually-proposed programme and budget estimates,
beginning in 1957, full provision for international health personnel costs of jointly-
assisted m C E i y W H O projects, due regard being given to the principle that WHO must
maintain a balanced public health programme^. 2 Full inç)lemerrtation of this resolution
as well as of the principle emaciated by various Health Assemblies that "WHO should
assume, subject to the limitation of its financial resources, the responsibility for
the employment of the technical personnel needed for joiht activities to be initiated
in the future" was reflected in the programme and budget estimates for 195?, 1958 and
1959 as approved by the Kinth, Tenth and Eleventh World Health AssemlaLies and is
reflected in the proposed programme and budget estimates for I960.
Handbook of Resolutions and Decisions, 4th e d” page 299
Handbook of Resolutions and Decisions, 4th e d” page 30Д
EB23/AF/3 page 19/20
3.6Д.Д In the annual programme and budget estimates of the Organization amounts
which have been allocated by the ÜNIC3F Executive Board for supplies and equipment
for jointly-assisted ÜNICEF/WHO projects are shown in the columns headed "Other
Extra-Budgetary Funds" and denoted by asterisks.
3.6.2 . Pan Ameri can Health Organisation
3.6.2..1 The annual programme and budget estimates of the Organization include
detailed information on the public health activities administered by the Pan American
Sanitaiy Bureau and financed by tha Member States of the Pan American Health
Organization (РАНО), including the Special Malaria Fund. The relevant cost estimates
are shown in the columns headed "Other Extra-Budgetary Funds" except in Annex 4 to the
proposed programme and budget estimates for 19боЛ In this Annex, which contains
details of malaria operations financed from the Malaria Eradication Special Account
and other funds^ the operations financed from the Special Malaria Fund in the Americas
are shown in a separate column.
3.6.3 Other Agencies
Tho remaining amounts shown in the columns of the annual programme and budget
estimates headed "Other Extra-Budgetary Funds" reflect the assistance to international
health activities provided by agencies such as the Organization of American States,
the Institute of Nutrition of Central America and Panama, the Government of rgentina
(in respect of the Pan American Zoonoses Centre), the Government of Venezuela (in
respect of the Caracas Zone Office)• In these columns are also shown, in parentheses,
the estimated amounts of the contributions by governments towards the costs of
iirplementation of projects in their own countries or territories, to the extent that
such information has been made available to the Orgrjiizabion.
3.7 F^anclal Racorrces (195Д-1959)
3.7.1 Table 6 shows the total obligations incurred or e^octed to be incurred by
the Organization during the years 195Д-1959 within the resources made available under
the Regular Budget, the S^anded Programme of Technical Assistance, the Malaria
Eradication Special Account (since 1957) and from UNICEF funds (in reimbursement of
the costs of technical personnel in jointly-assisted ONICEF/WHO projects), as well
as the amounts provided or expected to be provided by other agencies towards the costs
of internationally-assisted health projects, as reflected in the "Other Sxtra-
Budgetary Funds" columns of the annual programme and budget estimates of the Organizatio;
^ O f f . RÔC. Wld Hlth Org. 89 i i • • « 11 • _•_ штяштят •• ••• i
EB23/AP/3 page 21/22
TABLE 6. THE INTEGRATED INTERNATIONAL HEALTH НЮОРАММЕ FCR THE YEARS 195知 1959
•
i
1955 $
vo ur\
1
卜
in 1958 $
1 - - - - - - -1959 $
* 1» Obligations incurred or expaoted to be incurred by WHO
Regular Budget 8 I，514 9 275 300 9 982 794 12 09I 421 1) .43) 72k
9 2 2 ) ^ ООО)
14 442 724
7^0) ООО)
Malaria Eradioation Special Acoaunt 28 247 Ъ 850 556 5 932 171
Expanded Progranime of Technical Assistance 754 545 4 411 7^9 5 452 504 5 527 977 Ъ 046 645 4 749 * * *
зоо
Costs reimbursed by UNICEF for jointly-assisted UNICEP/лНО projects 557 351 451 558 112 058 47 972
12 426 410 14 138 587 15 547 356 17 695 617 23 034 921 25 848 211 .
2. Expenditure incurred or expected to be incurred by other agencies
i ： •
Amounts allocated or expected to be allocated by the UNICEF Executive Board for Supplies and Equipment in jointly-assisted UNICEP/WHO projects 7 045 109 7 770 029 11 55I 050 10 328 622 16 207 508 14 598 100
РАНО (including planned operat' • ns under Special Malaria Fund) 2 100 000 2 100 000 2 200 000 )斗52 063 5 ООО ООО 7 092 9^1
Other sources 47.f' 175 360 414 420 098 654 571 97斗 912 775 073
Total 22 040 694 24 369 030 29 518 504 32 130 673 45 217 341 48 512 325
Excluding obligations expected to be incurred under the Special Acccnnt for Research - see paragraph 3-7.5
**
See paragraph
* * * Initial Earmarkings established by TAB (see Paras 3.5.2 and •；5)
EB25/AP/3 page 23
3.7,2 In Table 6 the amounts shewn under the ае“гйаг Budget for 1958 equal the
obligations expected to be incurred witidn the аиюшгЬ cf ti¿e effective working budget 。 1
established by the Tentli World Health Assembly in resolution ША10.15 (I 13 566 130)
plus, for purposes cf conparison wita 1959, an arnovxit of | 72Д 000 (shown separately in
the table) representing the estimated costs of the administrative and operational
services for the '.îxpanded Programme of Technical Assistance which are to Ъе -mt from the
Special Account of that programme. The obligations expected to be incurred in 1959
equal túe amount of the effective viprking budget established by the 'îlc-venth World
Health ..sseriibly in resolution WHA11.282 ($ 14 287 600) plus the allocation of $ 72Д 000
from the Special Account of the Expanded Programme cf Technical Assistance for
administrative and operational services costs, as well as the advance of | 155 140 from
the Working Capital Fund which the Director-General has found it necessary to make in
order to meet the following unforeseen expenses：‘ ‘
(1) Additional costs resuitin：； from increases in the salary scales of staff
in the general services categories in Geneva which Ъесаае effective in 1958,
and amounting to $ 47 526.
(2) Administrative! and operational services costs arisins out of WHO，s
participation in the Expanded. .Prograraas of Technical Assistance, to to« extent
t “ a t these costs cannot be covered within the above-mantioned a l l o c a t i o n of
硅 724 ООО to l'JHO. The amount which it has been necessary to advance .from the
Workin- Capital Fund for this purpose is # 24 060.
⑶ Increased contributions to the Joint Staff Pension F\md resulting from an
increase in the pensionable remuneration of professional staff (I 35 97Л) ae from
X January 1959»
(Д) Additional requirements resulting frora Post Adjustmsnt reclassifications
for Ksw York, Washington and New Delhi 19 430) as frcm 1 January 1959.
(5) Additional requirements resultin: from the suspension of rcinus post
adjustments 28 150) as from 1 Pebruary 1959#'
Off. Rec. KLd Hlth Org. 79, 26
2 Off, aec. Ш-d HXth Org, £7, 29
EB23/AF/3 page 24
3.7,3 The obligations expected to Ъе incurred in 1958 and 1959 under the Malaria'
Eradication Special Account, as shewn iu Table 6, equal the estimated costs in each
year of the operations planned to Ъе financed from tae Special Account as reflected in 1
Annex A of the proposed programme and budget estimates for I960, taking into account
ti.e additional requirements, amounting to $ 11 297 which, were not foreseen at the time
when the estiratss were prepared, resulting from, the increased rate of contributions
to tiie Joint Staff Pension Fund, from post adjustment reclassifications and the
suspension of adnus post adjustments as from 1 February 1959.
3.7.Д The obligations expected to be incurred under the Sxpanded. Pro/raimiie of
Teciinical Assistance in 1958 and 1959，as siiown in Table. 6, do not include the amounts
of $ 724 000 in eaca year relating to administrative and operational services costs
which, as explained in paragraph 3,7.2 above, have been added to the amounts shown
•under the Regular Budget. The amount ehoî-m for 1958 therefore represents the total
obligations expected to Ъе incurred in the inç>leMentati。n of projects. The estimated
obli£ations shown for 1959 are based on the initial earmarkings to T-JHO in respect of
Category I projects included m the pro::ramrn©s approved by the Technical Assistance
Committee under the Expanded Prcçramme of Teci-mical Assistanoe plus tbe estimated
obligations for local costs payable by recipient governments, amounting to | 432 000
.as explained in paragraph 3.5.3 above.
3.7.5 As indicated in the footnote to the table, the obligations shown as expected
to be incurred by WHO in 1958 and 1959 do not take into account the estimated costs
(amounting to $ 65 100 in 1958 and 总 23Л 900 in 1959) of the operations planned to be
financed from the Special Account for Research Planning. As explained in paragraph 3.3
above, tas Director-General is required to submit to the Executive Board at its twenty-
third session and to tae Twelfth World Health Assembly a plan for the stimulatien and
со-ordiiiati.cn of research and the devslopment of research personnel.
3.7.6 The e^enditure incurred or ejected to be incurred by other agencies, su.ch as
those referred to in paragraph 3•乡.above>..;d.viriîig the years 1954-1959, as shown in
Table 6, reflect the amounts shewn in the coltunns of the annual revised programme and
budget estimates headed "Other Extra-budgetary Funds*.
1 Off. Rec> m d Hlth Org. 89
EB23/AF/3 page 25
3,7. 7 Based on the amounts shown 5.n Table в, Chart 9 (га Chapter II) illustrates the
total funds devoted or expected to be devoted to international health programmes for
t ie years 1954 - 1959 from all sources.
Д. The Budgetary Processes and Practices
4.1 Three-year Budget Cycle under the Regular Budget
4.1.1 The implementaticn in any year of the approved proframnes of the Organization
for that year under the Regiolar budget represents the culmination of a series of
actions commencing in preceding years. Thus, the preliminary planning phases of the
activities proposed for in^leraentation in I960 begin in 1958, account being taken of
the general progrararne of work covering the specific period 1957 to I960 approved by the
EighÜi Woiid Health Assembly.1 The prograira«5 requirements of Member States were
estimated and submitted by the regional directors to the respective regional committees
for consideration during the months of Septenfcer to October 1958. These estimates were
then submitted to the Director-General with the comments and roconmiendations of the
regional committees. The proposed programme and budget estimates for I960 as contained
in Official Records No. 89 and as submitted for examination by the Standing Committee
on Administration and Finance and the Executive Board at its twenty-third, session will
therefore reflect the consolidation by the Director-General of the proposed pro rammes
for that year recommended by the regional committees.
4.1.2 The proposed programme and budget estimates for I960 will be submitted to the
Twelfth Iforld Health Assembly in îîay 1959 for review and approval, together with the
relevant comments and recommendation of the Executive Board, in accordance with .
Article 55 of the Constitution. Following approval by the Health Assembly, the pro-
visional plans reflected in the proposed programme and budget estimates will be
finalized with a view -to inçlementation in I960.
4.1.3 The planning, development and implementatiôn of the pro::rammes under the Regular
budget extends, therefore, over three years. These years are referred to administra»-‘
tively as the planning year, the approving year, and the operating year respectively.
The confíete cycle in relaticn to the proposed programme and budget estimates for I960
is illustrated in Table 7.
1 ША8.10, Handbook of Resolutions and Decisions, 4th ed.., page 2
EB23/AF/3 page 26
TABLE 7
1958 The planning year
1959 rhe approving year
I960
Up to August/ September
August/ September
September/ October
October to
December January May
The opo rating year
Preliminary-regional planning with governments
Submission to regional committees
Submission to Director• Creneral
Revision, consolidation and production of proposed programme and budget estimates for 1959
Consideration by the Standing Committee on âdminis-tration and Finance and the Executive Board and submission to the Health Assembly with the гессгшеп-dations of the Board
Review and appro-val by-Twelfth TJorld Health Assembly
Iirplemen-tation
4,1*4 Each year, immediately after the meeting of the World Health Assembly and the
the Executive Board session which follows it, the Director-General issues instructions
to the regional directors regarding the preparation of programme proposals for the
second succeeding year； hence instructions for the preparation of the I960 prorrairane
and budget estimates were issued in June 1958. These instructions include directives
cn programme trends and other policy consideraticns based on decisions of the Board
and t:ie wealth Assembly. The instructions also indicate tlie tentative allocations of
funds to each region, which the Director-C-eneral makes under the guiding principles
for the allocation of resources as between regions as requested by the Executive Board
in its resolution EB13.R23. 1
1 ША8.10, Handbook of Resolutions and Decisions, 4th ed.., page 2
EB23/AF/3 page 27
Д.1.5 The regional directors thereafter plan programmes in consultation with the
governments and, where appropriate, in collaboration with any other interested
bilateral or multilateral agencies, on the basis of requests received from those
governments taking into consideration the suitability of proposed projects in the
light of the general programme of work for a specific period and the other discussions
and decisions in the Assembly and Board as well as guidance received from previous
sessions of the regional committee. The projects accepted by the regional director
for inclusion in the draft regional programme and budget estimates are initially
costed by the regional office in accordance with detailed instructions from
Headquarters on the costing procedures to be followed. The instructions pertaining
to the proposed programme and budget estimates are incorporated in the manual
regulating the Organization's administrative practices and procedures.
Д.1.6 The document containing the draft regional programme and budget estimates
is distributed to the governments within the region and copies are forwarded to
Headquarters for review. These draft programmes and budget estimates are
scrutinized at Headquarters and submitted to the Director-General with such commente
on the technical and budgetary aspects as may be found appropriate• Any changes in
the regional programme proposals recommended by the regional commit "bees are reported
to Headquarters and submitted to the Director-General, together with comments on the
technical aspects and with tentative summaries of the estimates, incorporating any
changes in the costings which have been found necessary. The Director-General then
prepares his proposed programme and budget estimates for the year and submits them
to the Executive Board which, in. accordance with the Constitution, submits them to
the Assembly, together with any re с csnmendat ions the Board may deem advisable.
Д.2 Programme Planning Procedure under the Expanded Programrae of Technical Assistance ，.
4.2.1 "Whilst，under the Regular Budget, the budget cycle of "WHO extends over three
years as illustrated in Table 7 (paragraph above), the corresponding cycle under
the Expanded Programme of Technical Assistance commences only iri March or April ef
the year preceding the operating year, as illustrated in Table 8 in relation to the
programme for 1960:
EB23/AF/3 page 28
TABI£ 8
1959
The planning and. approving year
1960
The operating year
March or April
May/June July/August October/December
Country targets and agency sub-totals established by the TAB
Regienal planning with gnvts.
Co-ordination of country programme； submission of country programme to TAB by Govt.
Review by TAB review and approval by TAC and General Assembly
Implementation
Д.2.2 In order to arrive at the country target figures and agency sub-totals, the
TAB requests the participating organizations to submit tentative programming data,
with particular reference to continuing activities, based on the preplanning target
figures established by the TAB in October or November of the preceding year (in the
present example the year 1958) in the light of the best forecast of the funds
expected to be available in the operating year.
4.3 Programming and Allocation Processes in UNICEF
The cycle for programming and allocation in UNICEF does not lend itself to the
same schematic illustration by years as under the regular budget or the Expanded.
Programme of Technical Assistance, since allocations for supplies and equipment and
for within country training stipends are made by the UNICEF Executive Board on two
occasions in each year, that Board meeting at intervals of approximately six months.
In so far as jointly-assisted UNICEFДШ0 projects are concerned allocations лге made
by the UNICEF Executive Board upon receipt of approval by Mtó of the technical aspects
of projects requested by governments• The shipment of the supplies and equipment
for which allocations have been made by the Board may extend over a number of years,
The cycle of programming and allocations can therefore be illustrated by reference
to stages, as follows, without regard to any specific period»
EB23/AF/3 page 29
TABLE 9
First stage Second stage Third stage Fourth stage
Request by Govt, for international assistance in the form of supplies and equipment or within country training stipends； evaluation of proposed project in the light of criteria laid down by the Executive Board； development by government nf outline of project with assistance of UNICEF and specialized agency.
Technical approval by WHO (or other specialized agency)j preparation of detailed plan of operations.
Svibmission by-Executive Director to the Programme Committee； recom-mendation t々 the Executive Bferd； approval by Board of allocation.
Implementation (shipment of supplies and equipment either immediately or at later dates as necessary)•
4*4 Composition of the Regular Budget
For I960 the Director-General proposes that the regular budget of the
Organization should include the following partsî
Part I. Organizational Meetings • covering the costs of the World Health Assembly
(Appropriation Section 1), the Executive Board and its Committees (Appropriation
Section 2), and Regional Committees (Appropriation Section 3).
Part II« Operating programme - covering the costs of Programme Activities
(Appropriation Section 4), Regional Offices, which exercise directing and co>
erdinating functions, under the authority of the Director-General and under the
supervision of the responsible regional committees, in relation to field activities
within the respective regions (Appropriation Section 5), Expert Committees
(Appropriation Section 6), and Other Statutory Staff Costs, apart from the salaries
of personnel and other costs covered under Appropriation Sections 4 and 5
(Appropriation Section 7)•
EB23/AF/3 page 30
F a r t Щ . Administrative Services - covering Administrative Services as defined
Ъу the Executive Board and.approved by the Second World Health Assembly, except
statutory staff costs other than salaries (Appropriation Section 8)^ and Other
Statutory Staff Costs (Appropriation Section 9).
Part IV. Reserve 一 equalling the amounts of the assessments upon the inactive
Members and China, which arar.unts are not available for use until the Health
Assembly has specifically authorized their uso - Undistributed Reserve (Appropriation
Section 10)•
EB23/AF/5 page 31
CHAPTER II
CONTSÏÏTS AND 風IN FE/iTUHES OF THE I960 PROGMi.?ME AND BUDGET DOCUMENT 1
1. Introduction
This chapter describes the contents of the document for I960, the form of
presentation of these estimates, the amount of the proposed effective working budget
for I960, and the programme trends reflected under the Begular Budget. Informatioii
is also given regarding tentatively proposed programme and estimated expenditure
under the Expanded Programme of Technical Assistance for I960, the operations planned
to be financed from the Malaria Eradication Special Account, the Special Account for
Research Planning and. Jointly-assisted UMICEF/HHO projects, together with a summary
outline of activities under all funds made available or expected to be made available
to WH0> and information regarding additional projects requested by governments and
not included in the proposed programme and budget estimates. •
2 . Contents of the I960 Programe and Budget Document
2.1 General
Apart fl*om the Introduction and. the Notes on the Pre3entatic«i of the ñfograraine
and Budget, the document contains summary tables shewing:
(a) the estimated total expenditure and total staff under the Regular
Budget, the Expanded Programme of Technical Assistance, the Malaria
Eradication Special Account and Other Extra-budgetary Funis, with
percentages, by major functions (pages 2 and 3)i
(b) the estimated expenditure глйег the Regular Budget by Appropriation
Section (in the format of the proposed Appropriation Resolution for I960)
and purpose-of-expenditure code - "Summary of Budget Estimates" (pages Д to 9)l
(c) by sections of the Appropriation Resolution for 1959, the total estimates
for 1959 as revised, the amounts to be reimbursed from Technical Assista|ice
funds, and the amounts to be financed from regular funds (page 10) j
Off. Rec. Wld Hlth Org, 89
page 32
(d) the total budget, income, assessments and effective working budgets
(page 11)j
(e) the scales of assessment for 1958 and 1959, and a projected scale of
assessment for I960 (pages 11 and 12).
These tables are followed by the text of the proposed Appropriation Resolution
for I960 (pages 13 and 1Д). As explained in paragraph 6 of the Notes on the
presentation of the Programme and Budget no text for the proposed Working Capital
Fund Resolution is presented in the budget document but a proposed text will be
presented for the purposes of the study which tte Executive Board, at its twenty-
third session, will undertake on the "Scale af Assessments for, and Amount of, the
Working Capital Fund".
2,2 Details
2.2.1 Details of the proposed programme and budget estimates are given in biformation
Annexes. Thus - ,
Annex 1 (pages 17 to 85) contains summaries, together with detailed estimates
of expenditure for Organizational Meetings and Headquarters activities, and
•includes, in particular, a suraiiary by purpose-of-expenditure code, indicating
percentages，of the total Regular Budget estimates; a summaxy of activities
to be financed from transferred assets of the Office International d'Iijrgiène
Publique to the extent available; an explanatory text together with estimates
of expenditure for the World health Assembly, the Exécutive Board and its
Committees j an explanatory text together with a summary and detailed estimates
for Programme Activities (Headquarters), and a summary for Programme Activities
(Field)j a coB^osite statement of functions and responsibilities for regional
offices and a summary for regional offices j the estimates of expenditure for
ЕЬфегЬ Committees for which the explanatory text is Included in the text for
Progrararae Activities (Headquarters)j explanatory texts together with summary
tables and detailed estimates of expenditure for Administrative Services,
Common Services and Other Statutory Staff Costs.
Annex 2 (pages 89 to 314) contains a summary of field activities, toy major
subject headings, for all regions ； explanatory texts together with Summaries
of field activities and detailed estimates of e^enditùrè for regional offices
and field activities.
page
Annex 3 (pages 316 to 344) contains а шпоагу by purpose-of-expenditure code
¡ T ^ e s t m a t e d expenditure urüer Categories I and II of the Expanded
Programme of Technical Assist^ncej narrative data concerning Category II
projects; and a sijxnmaxy of programmes under the Expanded Programme of
Technical Assistance for ths years 1959 and I960 by priorities.
Annex 4 (pages 346 to 395) contains explanatory text together with summaries
and detailed estimates of e^enditure for all activities in the field of
malaria planned to be financed from the Malaria Eradication Special Account,
the Regular Budget^ Techrdcal Assistance and Other Extra-budgetary funds.
Annex 5 (pages 399 -and Д00) contains an explanatory text together with
suramaries and detailed estimates of expenditure from the Special Account for
Research Planning fo:' ths years 1958 and 1959.
Annex 6 (pages ДОЗ to 々20) contains infomation relating to additional projects
requested Ъу government s and not included in the proposed programme and budget
estimates.
2.2.2 The 'documenii also contains information on joint3y-assisted UNXCEF/WHO
projects, the amounts allocated by the IMICEF Executive Board for supplies and
equipment shewn in the соХшсг.з headed "Other Extra-budgetary Funds" being denoted
by asterisks ； information on activities financed or planned to be financed from РАНО
and Other Éxtr?~bti.d.getary Funde; and information as to the estimated amounts
(expressed in United States dollars) which, acco^Jing to information available at
the time when the estimates were prepared, governments were expected to contribute ";
towards the implementation of projects in their respective countries or territories.
3. Form of Presentation *
3 # 1 In general, the form of presentation of the proposed programme and budget
estimates for I960 follows that adopted for previous years except that -
.、‘-.• * ' • . . ' 1 2 (a) in accordance with resolutions ША8.30 and ЩА11.35 the operations
planned to be financed from tha Malaria Eradication Special Account and
from the Special Account for Research Planning are presented separately
(in Annexes 4 and 5)i
Handbook of Resolutions and Decisicn6> 4th ed. page 48
2 Off. Rec. Wld Hlth Org. 87,
page 34
(b) certain modifications have been introduced in order to reflect changes
in the organizational structure of the secretariat including sonfè changes
which, although proposed to be effected in I960, have been reflected, for
purposes of comparison, also in the estimates for 1958 and 1959j
(c) for purposes of comparison, the estimates for 1958 and 1959 are
presented in the format of the Appropriation Resolution for I960 proposed
by the Director-General which format also reflects the major changes in the
organizational structure of the secretariat now envisaged;
<d) develoixnents affecting the participation of WHO in ths Expanded Programme
of Technical Assistance have led to the administrative and operational services
costs of ttiat Pfogramrae being merged with the estimates uraier the Regular Bui get
tor each of the years 1958, 1959 and i960, and to the inclusion in the budget
document after the "Summary of Budget Estimates" of a table showing, for 1959,
the total estiiMsfced expenditure and the amounts ejected to be reinbursed from
Technical Assistance Funds, thus arriving at the amounts to be financed from the
Regular Budget (in the format of the Appropriation Resolution far 1959)j
(e) in order to indicate more precise]^- the value of the assistance planned
to be provided under the Expanded Progranme of Technical Assistance the summary
tables and detailed estimates given in the countiy schedules contain information
relating only to those projects which, in 1959， are included in the Category I
programme as approved by the TAC and which, in i960, are toitatively proposed
for inclusion in the Category I programme for that year; infomtion relating to
Category II projects is given only in Annex 3.
3%2 Other changes in the form of presentation include :
(a) the presentation in Annex 4 of information regarding all activities in
the field of malaria financed or planned to be financed not опДу from the
Malaria Eradication Special Account, but also the Regular budget, Technical
Assistance； and Other Extra-budgetary Funds»
(b)
the presentation in the $tunmaries and detailed cost schodules for
H e a d q w t e r s , Regional Offices, Regional Advisers and Regional Health Officers
of information regarding requireroents financed from the Malaria Eradication
Special Account;
EB23/AF/5 page 35
(c) the inclusion of information regarding the Malaria Eradication Special
Account in tables such as those showin, the total expenditure &r,d total staff
under all ftmds, with percentages, by m j o r fimcticnsj and
(d) The identificaticn of grants separately from "Contracterai Tec.nical
Services and Other Fcrv^s of .iesearch Co-ordination".
д. proposed Effective Workir^ Budget for I960 II —M»»—*————————————1—"—“1**""*"**11"""***"**"""" ‘“
4 > 1 xn order to cover additional requirements not foreseen at the time w:..en the .
proposed рго-гашв and buci-et estimates for I960 were prepared and which necessitate
increases to the estimates for Appropriât! n Sections 7 and 9 - Ot^er Statutory Staff
Costs included with Parts I - III of tlie "Summary of Budget ïïstimates" (pages 4 to 9),
the Director-General found it necessary to propose that the effective working
b u d i e t for I960 Ъе established in the amotoit cf | 16 A18 700 instead of the amount of
U l 6 330 900 indicated in the "Suiranary Table shewing Total Budget, Income, Assessments
a n d sffective Working Budgets" on page 11. These estimates take into account the
administrative and operational services costs towards 他ich a luirç-smn. allocation of
I 724 000 is tc Ъе г-ade to ШЮ from tiie Special A c c o s t of the Expanded Programwe cf
Technical Assistance. The proposed effective working budget for I960 thus represents
a n increase cf ^ 1 251 960 (8.25 per cent.) over the corresponding estimates for 1959
amounting to 4> 15 166 740, taking into account advances from the '"orking Capital Fund
in 1959 to meet unforeseen expenses fcr that year.
The use to which tue proposed effective workin： budget would be put is illustrated
in Chart 2, by parts of tae proposed Appropriation Reroluticn for I960. This chart can
be ccxdpared with fae similar Chart 3 for 1959, а Л t..,e comparative percentages are
given in tiie following table:
page
TABLE 10
Appropriation section
Purpose of Expenditure Perf¡éntar¿e
1959 I960
1, 2 and 3 PART I - Organizational Meetings 2.90 2.80
Д
5
6
7
PART II - Operating Programme
Programme Activities
Regional Offices
Expert Committees
Other Statutory Staff Costs
55.99
11.45
1.19
18.04 emmmmme—mie
56.23
10.82
1сЗД 18.95
Total - Operating Prograirane 86.67 87.ЗЛ
8 9
PART III - Administrative Services
Administrât ive Services
Other Statutory Staff Costs
7.66
2.11 ттвшттттшттт
7.70
2Д6
Total _ Administrative Services 9.77 9.86
PART IV - Other Purposes
Reimbursement of the Working Capital Fund 0,66
100,00 100,00
4.3 The amounts within the proposed effective working budget 曲ich w o u M be devoted
to the various Parts of the Budget as indicated in Table 10 are shown in Chart 4
which also shows the corresponding amounts for 1959 and the estimated expenditure for
1958, which totals $14- 157 922 (as against the amount of Й1Д 290 130 approved for
that year, including the amount of 4^724 000 to be met from the Special Account of
the Expanded Prograjorae of Technical Assistance).
5* Programme Trends
5.1 The programme proposed for I960 is the fourth to be presented within the
framework of the second general programme of work for the specific period 1957 _ 196С
approved by the Eighth World Health Assembly in resolution ША8.10.1
1 Handbook of Resolutions and Decisions, 4th ed”. p* 2，and . Off. Rec. Wld Hlth Org. 63, A n n e x é ~ ~
— _ 丨 i — — t u r n T
ЕБ23/АР/3 page Л
Within this general programme of work the proposals show increased, activity within
the resources expected to be made available to the Organisation under the Regular
Budget in the fields of malaria, tuberculosis, endemo-epidemic diseases, public
health administration, nursing, social and occupational health； health education
of the public, nutrition, education and training； and other projects. The
estimated total annual costs of the field activities for which provision is included
under the Regular Budget for 1959 and I960 and the amounts of the increases and
decreases in I960 compared with 1959 are shown, by major subject heading, in the
following tables
TABLE
1959 I960 Increase (Decrease)
Malaria
1
596
>
882
í?
634 935
1
38 053
Tuberculosis 417 930 472 713 54 783
Venereal disease and treponematoses 181 916 177 139 (4 777)
Endemo-epidemic diseases 409 664 510 683 101 019
Public health administration 2 182 343 2 423 105 245 762
Nursing 652 213 723 953 71 740
Social and occupational health 147 444 157 295 9 851
Health education of the public 150 013 139 642 39 629
Maternal and child health 452 843 448 802 (4 041)
Mental health 232 796 203 757 (29 039)
Nutrition 81 779 97 133 15 354
Environmental sanitation 414 343 396 2 H (18 134)
Education and training 947 035 1 Û19 892 72 857
Other projects 66 205 82 565 16 360
6 933 411 7 542 828 609 Д17
^ The amounts shown do not reflect the deductions applied to the total estimates to take account of delays in the implementation of new projects or the additional requirements resulting from the increased contributions to the Joint Staff Pension Fund in respect of professional staff, and the sunpensi.on of all minus post adjustments affecting the cost estimates for individual projects.
page
5.2 The amounts of the firnds made available for 1959 and proposed to be made
available for I960 to each region under the Regular Budget are shown in Chart 5.
This chart also shows how the funds would be apportioned between regional office
and field activities (differentiating between inter-countiy programmes and other
field activities) in I960 as compared with 1959.
5.3 The extent to which it is proposed that funds be made available for inter-
countzy projects in I960 as compared with 1959 is shown in Table 12 below which also
indicates the numbers of such projects for which provision has been included in the
estimates for each of the two years.
TABLE 12*
；
Africa
The Americas
South-East Asia „ 糾
Europe
Eastern Mediterranean
Western Pacific
1959
л 1 1 1 1 1960 ；
Africa
The Americas
South-East Asia „ 糾
Europe
Eastern Mediterranean
Western Pacific
Number Amount Number Amount
；
Africa
The Americas
South-East Asia „ 糾
Europe
Eastern Mediterranean
Western Pacific
18
24
6
34
12
12
è
151 437
355 626
66 791
371 565
184 346
155 257
15
21
2
33
11
8
^ 160 507
352 706
16 286
384 059
228 596
152 837
；
Africa
The Americas
South-East Asia „ 糾
Europe
Eastern Mediterranean
Western Pacific
106 1 285 022 90 1 294 991
* The amounts shown do not refleot the deduotions applied to the total estimates to take account of delays in the implementation of now projects or the additional requirements resulting from the inoreased contributions to the Joint Staff Pension Fund in respect of professional staff y and the suspemi^i cif all minus post adjustments affecting the coat estimates for individual projects.
Exoluding any inter-comtry projeote whi。h may be financed, from the Contingency Provision of $ 42 000 in 1959 and I960.
5.4. The proposed programme and budget estimates for I960 also include provision
for eight inter-regional projects at an estimated cost of ^ 413 Л93 compared with
eight inter-regional projects at an estimated cost of ¿ 367 284 for 1959• bi
addition provision has been made for collaboration with other organizations at an
estimated cost of | 172 613 in I960 as compared with ^ 173 102 in 1959.
EB23/AF/5 page 735
5.5 In previous years the Executive Board has stressed the importance of fellow-
ships in thé promotion of health generally and the strengthening of national health
service© in particular.^" The amounts included for fellowships in the proposed
regular programme and budget estimates for i960 as compared with 1959 are summarized
In the following tableÎ
TABLE I?
1959 $
i960
Projects composed of fellowships only
Project-associated fellowships
611 000
448 576
708 300
556 290
Projects composed of fellowships only
Project-associated fellowships
1 059 576 1 2n4 590
6. Tentatively Proposed Progranmie and Estimated Expenditure under the Expanded Prograjnme of Technical Assistance for i960
6.1 The programmes shown in Official Records No. 89 as planned tô be included in
the Expanded Programme of Technical Assistance for i960 have been based on requests
ma^e by governments and endorsed by the respective regional committees. The
projects concerned are subject to review in the course of further negotiations with
the governments in 1959 in accordance with the programme planning procedures
established by the Technical Assistance Board and the Technical Assistance Committee#
taking into account
Assistance Board in
of funds for I960,
will be required to
and II respectively
1 r
Off. Rec, Wld Hlth Org. 19 para 75
the target planning figures to be established by the Technical
March 1959 in the light of the best forecast of the availability
Within these target planning figures, the governments concerned
determine what projects should be included under Categories I
of their programme requests. Рог these reasons and particularly
EB23/AF/3 page ф
because the funds eventually made available will depend upon the total amount of
funds pledged and paid by contributing governments to the Special Account of the
Expanded Programme of Technical Assistance, the programmes shown in Official Records
No. 89 must be regarded as tentative.
6.2 The fact that the total estimated costs of the Category I programmes shown in
Official Records No. 89 for I960 amount to $ 5 50б 877 or $ lib 535 more than the
total estimated costs of the Category I programmes as approved by the Technical
Assistance Committee for 1959, and the fact that, on the basis of present information
the target planning level for I960 is likely to be of the order of $ 4 ^ 0 2 8
(apart from local costs payable by recipient governments) emphasize the tentative
nature of the Category 工 programmes shown in Official Records No. 89.
7. Operations Planned to be Financed from the Malaria Eradication Special Account
7.1 As shown in the Consolidated Summary given in Annex 4 of Official Records No. 8
the total estimated costs of the operations planned to be financed from the
Malaria Eradication Special Account amount to $ 7 1^8 356 for I960 compared with
$ 5 932 171 for 1959, taking into account additional requirements not foreseen at
the time when these estimates were prepared. As at 51 December 1958, the total
voluntary contributions received and credited to the Special Account amounted to
$ 5 202 010 and, as the estimated total expenditure through 1958 amounts to
$ 5 858 605, the implementation of the operations planned to be financed from the
Special Account up to the end of I960 will depend upon the receipt of additional
contributions over and above the total as at December 1958, amounting to some
$ 11.7 million.
7.2 Subject to the necessary funds being made available, the amounts and
percentages of the totals which would be devoted to the operating programme and
administrative services respectively in 19,60 as compared with 1959 are shown in
the following tableí
EB23/AF/3 page 41
TABLE 14
J* 1959 i960
Purpose of expenditure Amount
$ Percentage Amount
$ Percentage
Operating Programme л
Programme Activities 5 170 87.16 6 359 470 88.96
Regional Offices 10ñ 526 1.79 108 594 1.52
Other Statutory Staff Costs 568 J>kl 9.58 589 935 8.25
Total Operating programmé 5 845 Oil 98.53 7 05f 999 98.73
Administrative Services
Administrative Services 64 688 1,09 69 075 0.97
3ther Statutory Staff Costs 22 472 0.38Í 21 284 0.30
Total Administrative Services 87 160 1Л7 90 357 1.27
Total • Operating Programme and Administrative Services 5 932 171 100,i)0 7 148 35f 100.00
8. Special Account for Research Planning
In accordance with resolution WHA11.351 of the Eleventh World Health Assembly,
the Director-General is submitting to the Executive Board at its twenty-third
seseion and to the Twelfth World Health Assembly a plan for the stimulation
and co-ordination of research and development of research personnel,
based on the special study of the role of WHO undertaken by the Director-General
pursuant to that resolution. Meanwhile, Annex 5 of Official Rec-grds No. 89 shows
the estimated costs in 1958 and 1959 of the operations financed from the Special
Account established by the Director-General as requested by the Twelfth World Health
Assembly in paragraph XI.2 of the resolution. The total estimated costs through
1959 amount to $ 500 000.
1 Off. Rec. Wld Hlth Org. 87,
EB23/AF/5 page 42
9. Jointly-assisted UNICEP/WHO Projects
9.1 In terras of resolution WHA8.12 1 of the Eighth World Health Assembly the
Director-General is required to include in bis annually proposed programme and
budget estimates full provision for the international health personnel costs of
Jointly-assisted UNICEP/WHO projects, "4ue regard being given te the principle
that WHO must maintain a balanced public-health programme", Aooordingly,
provision for the personnel costs of all jointly-assisted UNICEP/ШО projects
known at the time when the proposed programme and budget estimates were prepared
has been included under the Regular Budget, the Malaria Eradication Special
Account, or the Expanded ft*ograrame of technical Assistance.
9.2 The attached schedule (Appendix 1) shews the jointly-assisted UNICEP/VfflO
projects for which provision has been included for the years 1958, 1959 and i960
under the Regular Budget, the Expanded Prograrmie of Technical Assistance
(Category I), and the Malaria Eradication Special Account. Prom this schedule
it will be seen that, in i960, 101 projects for which the UNICEF Executive Board
has allocated funds fcr supplies and e^uipnent are inoluded In the estimates.
In addition/ there are 2J projects for which the UNICEF Executive Board may be
requested to allocate funds for supplies and equipment. The summary included in
this schedule also shows :
(a) the total amounts allocated by the UNICEF Executive Board for
supplies and equipnent for jointly-assisted UNICEP/VfHO projects in
1953, 1959 and i960, and
(b) the amcunts which UNICEF may be requested to provide for supplies
and equipment for such projects.
10. Summary Outline of Activities under all Funds made available ñr expected "to be made available to WHO
10.1 Subject to the necessary funds being made available, the total obligaticns
expected to be inourrea by WHO under the Regular Budget, the Malaria Eradicatieai
Special Account, and the Expanded Programme of Technical Assistance amount to
$ 28 417 084 in I960 compared with $ 25 848 211 in 1959, apart from the Special
Account for Research Planning, as shown in the fallowing table:
Handbook of Decisions and Resolutiwis, 4th ed. • t>. ^
EB23/AF/3 page 43
TABLE 15
1959 $
I960 i $ Í Regular Budget
Malaria Eradication Special Account
Expanded Programme of Teohnical Assistance
Total
15 166 740
5 932 17X
b 749 300
16 418 700 j
7 148 ！ 1
4 850 028 í ！
Regular Budget
Malaria Eradication Special Account
Expanded Programme of Teohnical Assistance
Total 25 848 211 28 417 084
10.2 Thèr amounts shown under the Regular Budget equal the total revised estimates
under Parts I, II, III and IV 对 the Appropriation Resolution for 1959 and the
proposed estimates under Parts I, IX and III of the Appropriation Resolution
proposed by the Director-General for i960, as reflected in the Sunmary of Budget
Estimates presented in the proposed progranane and budget estimates for i960
contained in Official Reoords Щ. 89 (pages 4 to 9), taking into account the amounts
advanced from the Working Capital Fund for 1959 and additional requirements for
i960 which were not foreseen at the time when these estimates were prepared.
10.5 The amounts shown under the Malaria Eradication Special Account equal the
estimated total c/ysts of the operations planned to be financed from the Special
Account in I959 afid i960 as reflected In Annex 4 of Official Records No. 89,
taking into account the amounts advanced ft?om the Working Capital Fund for 1959
and additional requirements for i960 whioh were not foreseen at the time when these
estimates were prepared.
10Л The amounts shown under the Expanded Programme of Technical Assistance include
the estimated obligations for local costs payable by recipient governments. The
amount shown for i960 is based on the target planning level expected to be
established by the TAJl for the year, plus the estimated local costs obligations
payable by recipient governments.
EB23/AF/5 page LA
10.5 The percentages Of the total funds expected to be made available to WHO
in I960 which would be devoted to organizational meetings, the operating pz*ogre.o)rnet
and administrative services, respectively, are illustrated in Chai«t 6. The
percentages of the total funds expected to be available to WHO in 1959 which are
planned to be devoted to organizational meetings, the operating programme,
administrative services, and other purposes are illustrated in Cnart 7. The
corresponding amounts are shown in the following table, which also shows the
increases and decreases in i960 compared with 1959, with percentages»
TABLE 16
Organizational Meetings
Operating Procramme
Administrative Services
Other Purposes (Reimbursement of Working Capital Fund)
1959 I960 Increase (decrease)
Organizational Meetings
Operating Procramme
Administrative Services
Other Purposes (Reimbursement of Working Capital Fund)
$ $ Amount
$ Percentage
Organizational Meetings
Operating Procramme
Administrative Services
Other Purposes (Reimbursement of Working Capital Fund)
459 350
235 vs 549
1 569 312
160 000
460 120
26 247 565
1 709 399
20 770
2 508 016
C87
(100 000)
4.73
10.56
8.95
(100.00)
Organizational Meetings
Operating Procramme
Administrative Services
Other Purposes (Reimbursement of Working Capital Fund)
25 848 211 28 417 084 2 568 875 9.9斗
The percentages illustrated in Charts 6 and 7 differ frcan the total
percentages shown in the table given on pages 2 and 3 of Official Reoords No. 89
for the reason that the latter take into account the amounts shewn In the columns
of the budget document headed "Other Extra-budgetary Funds". Further, for the
reasons explained in paragraphs 4.1, 6 and 7 the amounts for bcth 1 9 ^ and i960
reflect 七he revised estimates as shown in Table 16. V
10.6 Chart 8 illustrates the amounts of funds obligated or expected to be
obligated by WHO during the years 1 9 5杯 - 1 9 5 9 under the Regular Budget, the Malaria
Eradication Special Account, the Expanded Programme of Technical Assistance, and
frora UNICEF funds (in reimbursement of the costs Of technical personnel in
EB23/AF/3 page 45
Jointly-assisted UNICEP/WHO projects within amounts allocated by the UNICEF
Executive Board for the purpose). For purposes èf ceraparison, the chart also
shows the corresponding amounts which might be expected to he obligated in i960
should the necessary funds be made available. A further chart (Chart 9)
illustrates the total funds devoted or expected to be devoted to international
health programmes for the years 1954 to 1959 as referred to in paragraph J>, 7.7 of
Chapter I, (page 25).
10,7 Por the years 195杯 to 1959 the amounts on which Chart 8 have been based
correspond with those shown in Table 6. Pnr i960 the amounts equal:
(a) under the Regular Budget, the effective working budget proposed by the
Dire ctor-Oen eral (see paragraph k.l above)；
(b) under the Malaria Eradication Special Account, the estimated costs
of the operations planned to be financed from that account (see paragraph 7
above), and
(°) under the Expanded Programme of Technical Assistance, the total
estimated obligations assuming the target planning level fer that year will
be of the order of $ ^ 850 028 including the estimated lecal costs
obligations recoverable from recipient governments under the local costs
Plan (see paragraph 10.4 above).
T . . . . '• . , : • •' A s "ЬЬе Director-General Is submitting to the Executive Board and •
the Twelfth World Health Assembly a plan for the stimulation and co-ordination
of reeearcb QnC development of re&eerch personnel^ Chart 8 does not
take into account the estimated costs of the operations planned to be financed
й»ой the Special Aoormnt for Research Planning in 1958 and 1959, amounting to
$ 300 000, set fnrth In Annex 5 of Official Records No. 89.
1C»9 The amounts of funds made available for Regional Office and Field Activities
in 1958 and 1959 from ail sources are shown in Appendix 2 together with, for
purposes of canparison, the amounts which would be made available in 196C lf
sufficient funds should be forthcoming to meet the planned activities as огЛНпев
in the proposed prcgraimie and budget estimates for that year (Official Recorda
EB23/AF/5 page Lb
The appendix also shows the numbers of posts established for 1958 and 1959 and
the numbers proposed for i960；
10.10 The amounts shown In Appendix 2 for i960 are subject to adjustment in the
ltght oft
(a) any decisions of the Twelfth W^rld Health Assembly affecting the
proposed programmes under the Regular Budget;
(b) the target planning figures finally established by the Technical
Assistance Board for the Expanded Programme of Teohnioal Assistance；
(0) the amount of funds becoming available in the form of voluntary
contributions tos the Malaria Eradication Speoial Account.
11. Addltlpaial Projects requested by Governments and not included in the Proposed Programme and Budget Estimates
11.1 Annex 6 of the proposed programme and budget estimates for i960 as
contained In Official Records No. 89 includes narrative material and cost estimates
for "additional projects requested by governments and not included in the proposed
programme and budget estimates". The total estimated costs amount to $ 2 477 867.
. • • • ‘
11.2 The estimated costs of the tentatively proposed Category I projects under
the Expanded Programme of Technical Assistance for i960 as shown In Official
Records No* 89 a m o w t to $ 5 506 877, or $ 1 103 849 more than the target planning
level of $ 4 斗05 likely to be established by the Technical Assistance Board
in March 1959- This difference may therefore be added to the estimated costs of
the additional projects requested by governments but for which provision has not
been made In the proposed programme and budget estimates for i960. In additien,
the estimated costs of a proportion of the projects included under Category II cf
the apja»oved 1959 and tentative i960 Expanded Programme of Technical Assistance
should be taken into account, since these projects can be Implemented only to the
extent that substitutions may be effected or economies realized within the apj»»oved
cost estimates for Category I projects. As shown in the summary of prograranes by
priorities given in Annex 35 of Official Records No. 89 the oost estimates of these
Category II projects total $ 2 091 977 in lp59 and $ X 709 ОбО in i960.
Eliminating froni the latter total the amount of $ 1 281 representing the second
year costs of Category II projects planned to commence in 1959 and continue in i960.
EB23/AF/3 page Щ
the estimated total first year costs of the planned Category II projects shown
in fveflcial Records No. 89 for i960 amount to $ 427
11.3 Taking into account the estimated cos^s 作f Category I projects which cannot
be acoomraodated within the target-planning level expected to be established by the
technical Assistance Board for i960 and the first year costs of the planned
Category II projects, as explained in paragraph 11.2 above, the total estimated
costs of the additional projects requested by governments and for whioh provision
has not been made in 1959 or i960 amount to $ 6 101 140 as shown in the following
вшпшагу table.
TABLE 17
1. Estimated costs of additional projects
requested by governments and not included in
the proposed programme and budget estimates
(Annex 6 of Official Records No, 8 9 ) .
$ $
2 477 867
2. Estimated costs of Category I projects
included in the tentatively proposed
Expanded Programme of Technical Assistance
for i960 shown in Official Records No. 89
for which it would not be possible to
include provision within the expected
target-planning level for i960 1 105 849
3. Total estimated costs of the projects
shown in Official Records No. 89 under
Category II of the Expanded Programme of
Teohnioal Assistance for 1959 and i960 3 801 057
Less second year (continuing) costs of
j projects planned to commence in 1959 (1 281 613) 2 519 424
Total
• 丨
í j
r.
6 101 140
EB2VAF/3 page 48
CHAPTER III
CLASSIFICATION AND COMPUTATION OP THE ESTIMATES
1. Introduction
In the course of its examination of the proposed programme and budget estimates
as presented in Official Records No. 8 9 t h e Committee studied the practice
followed in the classification of the detailed estimates of expenditure and the
principles adopted in the computation of these estimates. Its findings in regard
to these aspects are set forth in sections 2 and 3 of this Chapter, and its
observations thereon are contained in section .
2. Classification
2.1 As shown in the Summary of Budget Estimates (pages 4 to 9 of Official Records
No. 89), the estimated expenditure within the various appropriation sections for
each of the years 1958, 1959 and i960 has been classified in accordance with
established practice, by purpose-of-expendíture code ur^er nine chapters numbered.
00 to 80, as follows！ •
Chapter 00: Personal Services, under which are grouped the estimates of
expenditure relating to salaries and wages and te short-term consultants' fees.
Chapter 10: Personal Allowances, under which is shown the estimated
expenditure relating to repatriation grants, pension fund and staff insurance,
representation allowances and other personal allowances (post adjustments,
assignment allowances, service benefits, dependants' allowances, and education
grants and related travel).
Chapter 20: gravel and Transportation, covering duty travel and all other
travel and transportation costs apart from travel costs related to education
grants and the travel costs of fellows.
Chapter 30t Space and Equipment Services, covering costs relating to rental
and maintenance of premises and of equipment.
EB23/AF/3 page 49
Chapter 40: Other Services, covering costs relating to communications,
hospitality, contractual services other than contractual technical services,
freight and other transportation costs.
Chapter 50: Supplies and Materials, including the costs of printing, visual
material, supplies and equipment.
Chapter 60: Fixed Charges and Claims, including the reimbursement of income
tax, insurance costs not elsewhere classified, indemnities, awards and
special claims.
Chapter 70: Grants and Contractual Technical Services covering grants-in-aid,
contractual technical services, fellowships, and participants in seminars and
other educational meetings.
Chapter 80： Acquisition of Capital As»ets including library books and
equipment other than project equipment.
2,2 Besides the estimated expenditure under the various chapters an amount of
$ 42 000 has been shown for 1959 and i960 under Appropriation Section 4 - Programme
Activities, as a contingency provision for Europe to meet requests for services that
may be received from those Members who, at the time when the proposed programme and
budget estimates were prepared, had not resumed active participation in the work of
the Organization. An amount of $ 100 000 has also been included, in 1958 and. 1959
for the reimbursement of the Working Capital Fund pursuant to resolution WHA10.28 in
vdiich the Tenth World Health Assembly authorized the Director-General to advance
"as needed from the Working Capital Fund such amounts as may be necessary to meet
the cost of the construction" of the new building to accommodate the Western
Pacific Regional Office not covered by voluntary contributions made by Member
States towards such cost "up to a maximum of $ 250 ООО".1 These amounts are not
identified, with any purpose-of-expenditure code.
J. Ccanputatlon of the Estimates
3.1 The following principles and procedures have been used fei the computation of
the estimates shown in the Summary of Budget Estimates under the various purpose-of-
expenditure codes.
1 ША8.10, Handbook of Resolutions and Decisions, 4th ed.., page 2
EB23/AF/3 page 50
)争2 Statutory Staff Costs
3.2.I These cover the purpose-of-expendl"ture codes relating to salaries and wages,
repatriation grants, pension fund, staff insurance, representation allowance (of the
Director-Oeneral) and other allowances, travel on initial recruitment and
repatriation, travel on home leave, travel pf temporary staff, transportation of
personal effects, and reimbursement of income tax.
；5.2*2 For filled posts, the salaries and related costs such as the Organization's
contributions to the, pension fund, staff insurance and other allowances (comprising
post adjustments, service bene1 its, contributions to the pension fund in respect of
associate participants^ dependants 1 allowances, and educati(yn grants and related
travel) and travel on home leave, reflect the actual entitlements of the
individual incvmibents. Provision has also been included in the estimates for the
payment of repatriation grants based on averages established in the light ef
expenditure in previous years. The averages used are $ 150 fer each eligible
staff member in the professional category and $ 50 for each eligible staff member
in the local grades.
3.2.3 In the case of vacant posts, it has been assumed that the incumbents will
be appointed at the base steps of the salary scales for the grades concerned, and
those related costs which represent percentages of the salary ctísts (such as
contributions to the pension fund, staff insurance and service benefits), have been
computed accordingly. Other costs, such as post adjustments, assignment allowances
education grants and related travel, travel on initial recruitment, transportation
a>f personal effects, and travel on home leave, have been based on the average
expenditures in previous years. Details of these averages are shown in the table
given in Appendix J>.
3.2.4 New posts have been costed in the same way as other vacant posts. Ibsts
under the Regular Budget and the Malaria Eradicati6ü Special Account have been
ciysted individually for the full year. Posts in new projects under the Expanded
Programme of Technical Assistance, to conform with the programme planning
procedures under that programme, have been costed as from the dates when it is
planned to fill them, or from 1 April, Whichever is the later•
EB23/AF/3 page 51
3.2.5 The total estimated costs of both filled and vacant posts at Headquarters
and in Regional and 3ther offices have been adjusted to take account of ~
(a) the additional expenditure which may be expected, as a result of staff
turnover, in respect of the repatriation of staff members who leave the
Organization (travel on repatriation and transportation of personal effects),
and the recruitment costs of their» replacements (travel on initial recruitment,
installation per diem, and transportation of personal effects)
(b) the economies which may be expected, as a result of staff turnover,
because of lapses in effecting replacement of the staff members who leave
the Organization, and the fact that the incoming staff members are normally
appointed at the base steps of their grades whereas the staff members who
leave the Organization normally do so at higher steps, and
(3) the economies which may be expected as a result of delays in filling
new posts.
3.2.6 The amounts which have been added to the total estimated costs of filled and
vacant posts at Headquarters and in regional and other offices to take account of
the additional expenditure which may be expected to result from staff turnover, as
explained in paragraph 2.5(a) above, are the product of two factors - the averages
established for travel on initial recruitment and on repatriation, for installation
per diem and for transportation of personal effects (see appendix 3)， and the
number of staff members expected to be replaced during the year. This number is
established on the assumption that the staff turnover percentage will be the same
ag that determined in the light of experience. Рог Headquarters the staff turnover
percentages so established are 5 per cent, for posts in the professional category
and 12 per cent, for posts in the general services category. For regional offices
and for regional advisers or regional health officers, area public health officers,
area representatives and zone offices, the established staff turnover percentage
is 8 per cent, for posts in the professional category.
5.2.7 The amounts deducted fr"m the total estimates for the salaries and related
costs of filled and vacant posta, to take account of the economies that may be
EB23/AF/3 page 52
expected as a result of lapses in effecting replacements, as explained in
paragraph 5(b) above, have been calculated as follows:
(1) If all staff members were to be replaced during the year, the amount to
be deducted, for each grade level, would be the difference between the salaries
and related costs of the staff members who leave the Organization and the
salaries and related- costs of their replacements, after allowing for the
periods that elapse before the outgoing staff members are effectively replaced.
Experience s№ws that these lapse periods may be taken^ on an average, as
3-1/2 months for professional staff at Headquarters and as 2-1/2 months for
professional staff in regional offices (including regional advisers and
similar personnel)•
(2) The actual amount of the saving which will result will depend on the
actual staff turnover during the year. The amount deducted from the total
estimates for Headquarters is therefore 5 per cent, of the hypothetical
deduction calculated as explained above; and f。r regional offices (including
regional advisers and similar personnel) it is 8 per cent, of the hypothetical
deduction.
；5.2.8 The amounts deducted from the total estimates for Headquarters, regional
and other offices, to take account of the e confies which may be expected as a
result of delaye in filling new posts (see paragraph 3.2.5(c) above), are, of
course, the total salaries and related costs of all new posts for a period equal
to the average delay in filling new posts. Experience shows that this average
delay may be taken as three months.
5.2.9 Since the implementation of new projects may be delayed on account of delays
in recruitment, deductions are also made from the total estimated expenditure for
projects• As the average delay in starting new projects has been established as
three months the amounts of these deductions represent the total salaries and
related costs for three months of the posts pruvided for in the cost estimates for
new projects. For the reason given in paragraph 3.2•斗 above, no such deductions
are made from the total cost estimates for projects under the Expanded Programme
uf Technical Assistance.
EB23/AF/3 page 53
3.2.10 The amounts relating to "Staff Turnover", to "Lapses in Effecting
Replacements", to "Delays in Pilling New Posts", and to "Delays in Implementation
of New Projects" have been shown in the relevant summaries contained in Official
Records No. 89. The amounts which have been added tn and deducted from the total
estimates under the Regular Budget to take account of these "plus and minus" factors
and to arrive at the net estimates as presented in Official Records No. 89 for 1959
and I960, a»d the percentages of the total estimates which these amounts represent,
are shown i» the following table :
TABLE 18
1959 I960
Amount Percentage Amount Percentage
$ . $ . %
Total Estimates 15 273 970 100.00 16 528 457 100.00
Staff Turnover 95 302 0.63 97 8)7 0.59
Lapses in effecting replacements
(deduction) (109 684) (0.72) (121 106)
‘
(0.75)
Delays in filling new posts (deductionr) 05 637) (0.24) (40 678) (0.25)
Delays in Implementation of New Projects (deduction) (57 211) (0.58) (45 810) (0.28)
Net Estimates 15 166 7^0 99.29 16 418 TOO 99.33
3.3 Costs relating tc Temporary Staff
The estimates af expenditure relating to temporary staff are based on the
numbers and pericds óf employment of such staff at the established rates of
remuneration. The travel costs are based on the actual travelling vfeich they are
expected tc undertake and tbe amounts included for subsistence are caleulated at
the prescribed per diem rates.
EB23/AP/3 page 54
)«斗 Common Services
In general, the estimates under Chapters ¡Ю, 50, 60 and 80 have been based
ans
(a) contractual agreements where applicable;
(b) past expenditure in respect of recurrent requirements;
(c) the best information available as tn the costs of specific requirements.
5.5 Fellowships
The estimates relating to fellowships have been based, as
on information as to the travel costs expected to be incurred,
the country of study, the stipends payable for the duration of
other related costs sueh as tuition fees and books.
5.6 Contractual Teohnical Servioes
These estimates, in general, have been based on contractual agreements
concluded or to be concluded "subject to the availability of funds".
3.7 Participants in Seminars and Other Educational Meetings
These estimates have been based on the best information available as to the
oosts of travelling to be undertaken and on the subsistence costs payable.
杯. Observations of the Committee
The Committee noted that the principles and procedures followed in the
computation of the estimates, as described in this chapter, continued to be the
same as in previous years and oi>nsidered them to be sound. It was further ncted
that the averages used had been adjusted to reflect the most recont experience of
expenditure-trends.
far as practicable,
which depend upon
the fellowship, and
page 55
CHâPTSR IV
DUTAIIED ¿ХйМШАТЮН OF THE P cOPOSSD FR0G:^ME АЩ) BUDGET 3STIMTEÛ FOR I960
Introduction
1. When it examined the proposed programme and budget estimates for I960, the
Committee had before it, inter alia, the following smrmiar/ tables and detailed
statements:
(1) Svraimary table showing the increases and decreases in the proposed
programme and budget estimates for I960 compared with the corresponding
estimates for 1959, with prcentages, by appropriation section (Appendix 4)•
(2) Summary table indicating the main items which account for the
increase in the proposed effective working budget for I960 compared
with the corresponding level for 1959 (Appendix 5) •
(3) Detailed analysis of the increases and decreases for I960 compared
with 1959, by main organization unit or function (Appendix 6).
(4) Schedule showing the estimated costs of continuing projects, projects
composed of fellowships.only, and new projects, for the years 1958， 1959
and I960 (Appendix 7〉•
2. in these summary tables and detailed statements, the estimated expenditure
within the prcposed effective working budget for I960 of ^ 16 418 700 (taking into
account certain additional rsqnirenents not foreseen at the time when these estimates
were prepared) is compared with the revised estimates for 1959 aggregatirjg
% 15 166 740, financed as follows:
ЕВ2)/АР/3 page 56
(1) Amount voted by the dlsventh world Health Assembly under Parts I; II, III and IV of the Appropriation Resolution for 1959
(2) Amount of advance from Working Capital Fund required to meet unforeseen expenses arising out of increased salary scales for general services staff in Geneva (i? 47 526), developments affecting the participation of Ш0 in the Expanded Programme of Technical Assistance (¡á> 24 ОбО), increased pensionable remuneration of professional staff (¡0 35 974), post adjustment reclassifications (:¿19 430) and the suspension as from 1 February 1959 of all
. minw post ad justments (ft 28 150)
(3) A lump-sum allocation from the bpecial Account of the Branded ñrograrame of Technical Assistance towards the administrative and operational services costs of that programme 724 000
15 166 740
Э* In line with the document containing the proposed programe and budget estimates
for I960 (Official Records No. 89)> the summary table (appendix 4) follows tte format
of the Appropriation Resolution for I960 and the detailed analysis (Appendix 6) follows
generally the order of presentation of the detailed estimates as set forth in Annexes 1
and 2 of that document. The project costs estimates given in the schedule (Appendix 7)
coincides with those given in the country schedules contained in Annex 2.
4 . In this chapter, the findings of the Committee regarding the proposed budget level
and the main items whioh account for the increase in that level as compared wLth the
corresponding level for 1959, are set forth in Part I, The increases and decreases in
the proposed programme and budget estimates for I960 compared with the corresponding
estimates for 1959, are described in Part II which also contains the findings and
observations of the Committee arising out of its detailed analysis of ttese increases
and decreases as presented in Annexes 1, 2 and 3. Similarly, the comments of the
Committee following its study of the programmes and estimates of expenditure presented
in Annexes 5 and 6 are given in Part III,
1 Resolution WHA11 47 Off. Rec. Wld Hlth Org. P7, J7-38
U 287 600
155 1^0
page 57
PART I
Proposed Budget Level for i960 and Main Items which account for the increase in that level compared, with the corresponding level for 1959
J-l .!!_-_•—W— HI-UJII ——ai" "T ГГЧ ЩЯЛ1 i In - ••圔 II I r 4 - ‘ - - - • — — ^ ^
1. As indicated in the summary table (Appendix 斗)，the proposed effective working
budget for I960 ($ 16 418 700) represents an increase of $ 1 251 9б0 op 8,25 per cent,
over the comparable level for 1959» Most of this increase, i.e. $ 1 194 300
(representing 9.09 per cent* more than the corresponding estimates for 1959) would be
devoted to the operating programme. Other increases reflected in the estimates relate
to Administrative Services (9.24 per cent, more than for 1959) and Organizational
Meetings (4.73 per cent, more). These increases, totalling $ 1 351 96O are offset
by an amount of $ 100 000 representing non-recurrent expenditure relating to the
reimbursement of the Working Capital Fund in 1959•
2. As will be seen from Appendix 5 j the main items which account for the increase
of $ 1 251 96O in the estimates for i960 as compared with those for 1959 may be
summarized as follows:
2,1 Operating Programme
Amount and percentage increase in i960 as compared to 1959• $ 1 19^ 300 : 9*09^
Percentage of total i960 increase 95*39^
2.1.1 Of this increase, $ 645 178 (51.53 per cent.) relates to field activities
including projects for which an increased provision of $ 490 472 representing 39*18 per
cent, is proposed» Additional requirements for continuing projects ($ 611 565), and
for projects composed of fellowships only {$ 97 300) for which it has been necessary
to make provision within the effective working budget proposed by the Director-General
for i960 have been partially offset by a reduction of $ 218 393 in the amount provided
for new projects in i960 as compared with 1959， so that the net increase in the
provision for projects is $ 490 472. Increased requirements for regional advisers
and similar personnel amount to $ 154 706, of which statutory staff costs for
established posts and provision for two new posts (those of a regional health officer
and a clerk stenographer for the European Region) aacount for $ 1，5 456 and $ 12 593
respectively; the requirements for duty travel and short-term consultants show
increases amounting to $ 7630 and $ 78OO respectivelyf These increases are partly
offset by a decrease of $ 8773 in the total requirements for ссшпоп services.
EB23/AF/3 page 58
2.1.2 Headquarters1 programme activities account for $ 斗17 485 of the total increase
for the Operating Programme. Of this amount, $ 104 581 relates to increased statutory
staff costs for established posts, $ 196 925 results from the provision for thirty-five
new posts proposed for i960, and $ 30 000 relates to staff training. Increased
requirements for oommon services ($ 38 111), contractual technical services ($ 28 500),
short-term consultants ($ 14 ^00), duty travel ($ 12 800), printing of publications
($ 12 000) and other items ($ 2700), partly offset by decreased
groups ($ 12 430) and grants-in-aid ($ 10 000), account for the
$ 85 98I for programme activities at Headquarters.
2.1.5 Of the total increase of $ 93 817 for regional offices, $ 86 904 represents
the increased requirements for statutory staff costs of established posts and $ 6717
represents the costs of three new posts which it is proposed to establish in i960 (an
information assistant and a clerk for the Regional Office for Africa and a clerk
stenographer for the Regional Office for the Eastern Mediterranean). Other increased
requirements for public information ($ 4804), duty travel ($ 2320) and hospitality
($ I8OO), partly
offset by reduced requirements for common services amounting to
$ 8728, accouirt for "the remaining increase of $ 196.
2.1.4 The remaining amount of the total increase for the Operating Programme
($ 37 820), relates to expert committees.
2.2 Administrative Services
émount and percentage increase in i960 as compared to 1959. $ 136 890 s 9,2姊
,Percentage of total i960 increase 10.9)多
Of this amount, $ 51 257 reflects the inereased requirements for statutory staff
costs of established posts, and $ 38 526 represents the estimated costs of nine new
posts which it is proposed to establish in i960. Increased requirements for public
information ($ 35 900) and duty travel ($ 11 300) and a decrease of $ 93 in the
requirements for oommon services account for the remaining increase of $ 47 107.
2.3 Organizational Meetings
Amount and percentage increase in i960 as compared to 1959. $ 20 770 s 4.7努
Percentage of total i960 increase 1.66多
Based on the information available as to the venues of the meetings in 1959 and
I960, the estimates for regional committees show an increase of $ 27 150 in i960.
Against this increase, the requirements for the Thirteenth World Health Assembly show
requirements for study-
remaining increase of
ЕВ23ДР/5
page 59
a reduction- of $ 6)80 as compared with those for the Twelfth World Health Assembly.
As the estimates for the Executive Board and its committees are maintained at the same
level in I960 as in 1959, t,ho net in'Crease for organizational meetings amounts to
$ 20 770.
2.4 Non-recurrent requirement
Amoimt and percentage decrease in i960 as compared to 1959. $ Ю0 000 : 100多 ,
Percentage of total i960 increase (7.98多）
The approved estimates for 1959 include provision, under Part IV - Other Purposes
of the Appropriation Resolution, 1 for reimbursement of the Working Capital Fund in the
amount of $ 100 000. As no corresponding provision is included in the proposed estimates
for i960, the increased requirements referred to in paragraphs 2 山 2.2 and 2.3 above,
totalling $ 1 551 96O are partly offset by this non-recurrent requirement, resulting
in the net increase of $ 1 251 9б0 over the estimates for 1959»
2.5 Recapitulation
Based on the information given in Appendix the main items which account for
the increase of $ 1 251 960 in the estimates for I960 as compared with the corresponding
revised estimates for 3.959 may be further summarized as
(1) Statutory Staff Costs for established posts
(2) Organizational Meetings
⑶ Headquarters?
FrograTime Activities Adrainiscrative Services
(4) Expert Committees
(5) Regional Offices
(6) Programme Activities: Field
Jjesss Non".re current requirement
follows:
Amount $
378 198
20 770
Percentage %
30.20 1.66
312 904 85 653
25.00 6.84
37 820 3.02
6 915 0.55
509 722 • 40^7.1
1 35I 96O • 107.98
—(100 000)
1 251 960 100.00
37-38
EB23/AP/3 page бО
3 . In introducing the proposed programme and budget estimates for 1960 the Director-
Gen aral informed the Committee that during 1958, a review of the situation of 'WHO had
been made in the light of ten years' developments and, as a result, a nraiber of changes
in the structure of the Organization had bsen effected which, as explained, in the
Introduction to the Programme and Budget (and also referred to in Part II of this
Chapter in connexion with the estimates for Programme “ctivities (Headquarters), and
in Chapter V) together with t h œ e intended to be made in I960, were reflected not only
in the proposed programme and budget for I960 but also, for purposes of comparison, in
the estimates for 1958 and 1959. Developments regarding ШО'з participation in the
Expanded Programme of Technical Assistance had led to the administrative and operational
services costs of that programme incurred at Headquarters and in the regional offices
being merged «ith the corresponding estimates under the Rsgular budget. The amounts
expected to be reimbursed from the Special Account of that programme for this purpose
had bean shown as deductions from the total estimates • The ncod expressed at the
twenty-first session of t h e Executive Board for the presentation of a complete picture
of all activities in the field of malaria had resulted in the inclusion in a separate
annax (Annex 4) of all such activities financed, not only from the Malaria Eradication
Special Account but also the Regular budget, the Expanded Programme of Technical
Assistance, the Special Malaria Fund for tha i«jcricas, and Other Extra-budgetary funds. T
In accordance with resolution Ж»11.35 of the Eleventh world Health Assembly, the
activities financed frcwi the Special account for Research Planning in 1958 and 1959
within the amount of 300 000 available for that purpose was now also presented in a
separate annex (Annex 5) •
4 . As to the amount of the budget which hs was proposing for I960 the Director-Gensral
referred to the fact that decisions taken on certain staff entitlements such as post
adjustments and pensionable remuneration, not foreseen at the time when the estimates
for 1959 were approved by the Eleventh World Health Assembly or when the proposed
estimates for I960 were prepared had made it necessnry to provido additional amounts
in 1959 and in I960. Full information concerning the advances from the iorking Capital
Fund, which hs was finding it necessary to rnaks in order to m^et these tmforeseen
expenses for 1959 was being submitted to the Executive Board with his racommendation
for the reimbursement of the Fund through Supplementary ¿stiinatss • Detailed
1 Off. Rec. Wld Hlth Org. _§7, 52
EB23/AP/3 page 6l
infomation regarding the unforeseen additional requirements for I960, necessitating
an increase in the amount of tha effective working budget proposed by hira for that year
had Ьгап presented to ths Committea. Taking into account these additional requirements
for 1959 ani I960 the percentage increase in the proposed effective working budget for
I960 compared with the corresponding estimates as adjusted for 1959 was approximately
8,25 per cent, This would allow for an increase in field activities and for a
strengthening of the Headquarters sstab3áshment - necessary in visw of decisions of
the viorld Hoalth Assembly and the Executive Board regarding, inter alia, iiKsreased
work on cancer, cardiovascular diseases, leprosy and virus diseases.
As part of the organizational changes referred to by hira, the Director-General
called attention to the proposed, appointment of an additional Assistant Director-
General airi the proposed establishment of two new Divisions - a Division of Public
Health Services and a Division of Health Protection anà Promotion - in place of the
Division of Organization of Public Hoalth oervices.
6. Certain chanses in tiie format of the Appropriation Resolution proposed by him for
I960 followed logically upon the organizational changes effected. Thus with the
abolition of the arbitrary departmental structure the proposed Appropriation Resolution
for 1960 provides for the amalgamation under cme appropriation section (Appropriation
Section Д - Programme activities) of the estimates far the former A*ppropriation
Sections 4 - Central Technical Services, and 5 - Advisory Services.
7 , The Direct or-General also infomed the Committee that in accordance with a decision
of the Executive Board to review in 1959 the scale of assessments for, and amount of,
the Working Capital Fund he was submitting a report to the executive Board on this
matter together with rscoraifândations as to the amount of and the text of the working
C o i t a l Fund Resolution, whioh would be studied by the Committee in due course.
8» Heierring to the Malaria Eradication Special Account the Director-General reported
that the attempts to obtain further contributions had not met with much success, ал4 it
appeared likely that by the end. of 1959 there would be insufficient funds for the
programme, unless substantial new contributions were received. He therefore, hoped
that the Executive Board and the World Health assembly would consider the position
very carefully.
EB23/AF/3 page 62
9. The attention of the Committee was also drawn to thu various changes in detailed
pre$entation of the programme and budgat estimates dsscribsd in the Notss on the
presentation of the programme and budget estimates； the amount of casual inccane
(‘¿ 5G0 ООО) which it was suggested be used to help finance the I960 budget and the
fact that, in addition to the amount of S 19 ООО included in the estimates for the
printing of additional coplos of publications for sale in accordance with established
practice, an amount of % 8000 had been included for providing copies of film prints
for sale in accordance with a proposal by the Director-General to the iüxecutive Board
and the Assembly to озфапй tiie use of the Publications Revolving Fund for this purpcee.
The total amount 27 000) had bean included under casual income, as available
by transfer from the Fund. as regards the scale of assessments for I960, the
Coiffi-oittee was informed that Щ0 had reached the stage тЛеп it could full/ implement
the decision of the ¡¡¡ighth ^orld Health Assembly that the scale be based on the
latest United Nations scale, The projected scale for I960 therefore followed the
United Nations scale for 1959 一 the latest established by the General assembly.
The seals reflected some changes made in the tînited Nations scale•
10. In addition to the change in the format of tie Appropriation ïtesolution proposed
for I960 reflecting the proposed amalgamation under one appropriation section of the
two former 4pp:oporiation-Sections 4 Central Technical Services and 5 - Advisory Services
the Gomndttse noted that it was proposed to establish two new Appropriation Sections
7 and 9 - Other Statutory Staff Costs to provide for the statutory staff costs other
than salaries of the staff covered under Appropriation Sections 4 - Programme Activities'
aró 5 - Regional Offices, and under Appropriation Section 8 一 Administrative Services,
respectively. It vraa noted that this was in line with the practica followed by other
organizations, and that detailed information as to the cost elements included under
the proposed, new appropriation sections was given on page 77 f Official Records No. 89.
11. The Committee further notôd that, by decision of tho Sconomic and Social Council
in July 1958 the lump-sum allocation from the Special iiocount for t he Expanded
Programme of Technical Assistance towards the administrative and operational services
of that programme, now merged with the estimates under the Regular budget, was expected
to be ..》724 000, as for 1959 and 1958 and that the cost to WHO for 1959 was expected
to be % 24 060 in excess of that arnount, with the result that it had bscoma necessary
to meet this unforeseen expense by an advance from the Working Capital Fund.
EB23/AF/3 page 63
12. As regards the estimates shown under the heading "Other Extra-budgetary ？unds"
the Ccsnraittee was informed that, in accordance with the wishes of the Health Assembly
that the annual programme and budget estimates should reflect all health activities
carried out whether or not the necessary funds were made directly available to WHO,
the information given in these columns reflected health activities financed by
UNICEF and by РАНО (as explained in Chapter I). The amounts expected to be
contributed by governments towards the costs of implementation of projects in their
own territories were also shown in these columns, in parentheses.
13. At the request of the Committee, the Director-General gave an outline of the
contents of the budget document, which is generally described in Chapter II of this
report. Referring particularly to the Summary of Budget Estimates (pages 4 to 9)
giving the estimated expenditure by appropriation section and by purpose-of-
expenditure, the Director-Oeneral explained that the estimates for the three years
1958, 1959 and i960, for the purposes of ccraparison, had been presented in the forraat
of the proposed Appropriation Resolution for i960. In line with the proposed format
for i960 statutory staff costs other than the salaries of staff had been shown under
the new proposed appropriation sections 7 and 9 within Parts II and III respectively
of the Appropriation Resolutions. With regard to the deductions shown at the end of
the Summary of Budget Estimates the Director-General explained that any available
inccene appropriated by the World Health Assembly to help finance the annual budgets
of the Organization served to reduce the total assessments on Members.
14. A new table had been included on page 10 of the budget document to show, in ttie
format of the Appropriation Resolution for 1959> the total revised estimates for that
year, the amounts being reimbursed frcsn the Special Account of the Expanded Programme
of Technical Assistance and the remaining estimates under the Regular budget including
certain items of additional expenditure not foreseen at the time when these estimates
were approved by the Eleventh World Health Assembly which the Director-General had
found it necessary to meet by an advance frcxn the Working Capital Fund.
EB23/AF/3 page 64
15. As regards the projected scale of assessment for i960, the COTimittee was informed that this scale would need to be adjusted in order to take account of
certain unforeseen expenses which had not been provided for in the proposed
estimates. In this connexion the Director-General explained in reply to a question
that certain downward as well as upward changes in the amounts of the assessments
for individual Members resulted from changes made in the United Nationé scale (for
1959) upon vAxioh, in accordance with the decisions of the Eighth World Health
Assembly, the WHO scale for I960 had been based.
1 — n d b 0 0 k °f R 9 5 0 l u t i o n s _ 4th ed, pp. 2 3 0 ^ 3 1 , та.8.5
ШсО/МУ/ ) page 65
PART II
Detailed Analysis of the Proposed Programme and Budget Estimates for 19^0
Explanatory Comments
In the course of its examination of the proposed programme and budget estimates
for i960 as presented in Official Records No. 89， the Committee made a detailed
analysis of the increases and decreases in these estimates as compared with the
corresponding estimates for 1959. These differences are set out in tabular form in
Appendix 6, by main organizational unit or function. The Committee also studied the
detailed estimates in the order in which they are presented in Official Records No. 89,
and it is in this order that the findings and observations of the Committee are recorded
in this Part of Chapter IV. For the purposes of identification, the numbering pattern
used in this Part corresponds with that used in annexes .to the budget document.
Similarly where specific items of expenditure are referred to, the numbers assigned
to them in that document, have been quoted. The page references, given in parenthesis,
are those on which the items of expenditure are shown in Official Records No. 89.
ANNEX I (Official Records No. 69)
SUMMARIES, TOGETHER WITH DETAILED ESTIMATES OP EXPENDITURE FOR ORGANIZATIONAL MEETINGS AND HEADQUARTERS ACTIVITIES (pages 17-85)
1. WORLD HEALTH ASSEMBLY (pages 4 and 19)
1. The Committee noted that the reduction of $ 11 800 in the i960 estimates for
printing results from the inclusion of provision in the 1959 estimates for printing
the fifth edition of the Handbook of Resolutions and Décisions. In conformity with
resolution EB15.R6^which authorizes the Director-General to publish editions of the
Handbook at Intervals of two years, no provision is made in the proposed i960 estimates.
2. As shown in the Summary of Budget Estimates (page 4) the decrease is offset to the
extent of $ 5320 by increases in the requirements for temporary staff ($ 500), travel
and transportation ($ 4^60), Other Services ($ 500) and Insurance ($ 6o).
3. In reply to a question as to the reason why the estimates under the purpose-of-
expenditure code "other contractual services" for 1959 and i960 were substantially
1 Handbook of Resolutions and Decisions, 4th ed. page 41
EB23/AF/5 page 735
higher than for 1958， the Director-General stated that the increase under this code was
due to an administrative decision regarding the purpose-of-expenditure code under which
the costs of reproduction of documents of the World Health Assembly should be
classified. In the past such costs have been accounted for under purpose-of-expenditure
code 53 "Supplies", but as the reproduction cf such documents is undertaken by the
United Nations, it was decided that， as from 1959 the costs should be provided for
under tae code for "Other Contractual Services". The Committee noted that this change
was confirmed by the fact that the estimates under code 53 for 1959 showed a correspond-
ing decrease so that the total estimates "under the two codes were approximately the
same for 1959 as for 1958.
4. The Committee noted that, apart from certain costs borne by the local authorities
and payments made directly by the Government of the United States of America , the
total estimated costs to WHO of the Eleventh World Health Assembly, held in Minneapolis
in 1958/ amounted to $ 492 940. Of this amount $ 274 000 had been reimbursed to WHO by
the Government•
5c The Committee considered these estimates satisfactory.
2o EXECUTIVE BOABD AND ITS COMMITTEES (pages A, 5 and 39)
The Committee noted that the proposed estimates for I960 show no changes as
compared with 1959 •
2. With regard to the estimates under the purpose-of-expenditure codes 43 "Other
Contractual Services" and 53 "Supplies", €he Coimnittee noted that, for the same reasons
as explained in paragraph 3 above in relation to the estimates for the World Health
Assembly, the total e-tiinates for 1958 and 1959 were approximately the same, although,
individually, the differences appeared to be substantial.，
3o The Committee was satisfied with these estimates•
3. REGIONAL C C M O T S E S (pages 5 and 19-21)
1. The Committee noted that the overall increase of $ 27 150 resulted from various
increases and decreases in the I960 cost estimates of indivual regional committees as
shown in Appendix 6 and in the detailed estimates on pages 19-21• The venues decided
upon bj each regional committee at their 1958 meetings ; and the differences in the cost
estimates are as follows:
ЕБгз/А^/? page 67
Venues
1959
Venues I960
Increase Decrease
Africa Nairobi (Kenya) Accra (Ghana) 1
5 210 $
Americas
South-East Asia
Eegional Office
(Ceylon) N。t at -(Indonesia)
18 100
7 400
Europe
Eastern Mediterranean
Bucharest (Romania)
Eegional Office
Eegional Office
Tunis (Tunisia) 8 000
9 560
Western Pacific Taipeh (Taiwan) Eegional Office - -
2. The increases in the cost estimates for the regional conmittees of the Americas and
Eastern Mediterranean and the decrease in those for the European committee reflect the
comparisons in the costs of meetings held at Eegional Headquarters in one year and away
from the site of the regional office in the alternate year- The Directing Council of
the Pan American Health Organization (acting as the Eegional Committee for the Americas)
has not yet decided on a venue for i960. As it will be meeting in Washington in 1959 it
has been assumed that the i960 meeting will be held in another country, and the cost
estimates have therefore been based on the expenditure incurred for similar meetings in
previous years. Although the estimates for the Eastern Mediterranean Eegional Committee
include provision for both Sub-Committee A and Sub-Committee B^ the venues shown above
relate to Sub-Committee A only. For costing purposes it has been assied that both
Sub-Committees will meet in the same place in 1959 and 1960.
3. The differences in the estimates for the regional committees for the African and
South-East Asia regions reflect the estimated increased costs of servicing the
committees at the venues selected for i960 as compared to those in 1959.
ij-. The decision of the Regional Committee for the Western Pacific taken at its fourth
session in 1953 that the additional expenditure entailed in holding meetings away from
the site of the Regional Office should be met by the host government accounts for the
fact that the cost estimates for i960 are maintained at the same level as for 1959.
5. In reply to a question regarding the costs of holding sessions of Eegional
Committees avay from the site of the Regional Office^ the Committee was informed that,
with the exception of the Western Pacific Region, ths host governments did not pay the
whole of the extra costs involved. In Africa, for example, the services provided by
governments were often restricted to the provision of conference rooms、 offices, local
personnel and related services, which explained, in part^ the fluctuations in the
estimates from year to year.
page 68
6 ' ^ ®^ector-General informed the Committee that resolution WHA9.20 1 of the Ninth
World Health Assembly drew the attention of Regional Conunittees to the desirability of
host governments participating in the increased costs of holding Begional Coinmittee
meetings outside the Eegional Headquarters.
7 ' ^ Committee was satisfied vith the estimates for Begional Cormittees.
扛. PROGRAMME ACTIVITIES (pages 22-69)
1, The Committee noted that, in accordance with the Appropriation Resolution proposed
by the Director-General for I960, the estimates formerly presented шйег Appropriation
Sections U - Central Technical Services and 5 - Advisory Services vere nov presented u n d e r ProP^ed new Appropriation Section k - Progrmnme Activities, apart from
statutory staff costs other than salaries, vhich were now provided for vithin the
proposed new Appropriation Section 7 • Other Statutory Staff Costs.
2 ' I n l n t r o d u c l Q S these eetimates the Director-General stated that their presentation
under the Proposed new appropriation section vas regarde^ ae a logical cortaequence of
the organizational changes in the structure of the Secretariat at Heaâquartere which had
led to the elimination of the arbitrary distinction between the two former departiente
of Central Technical Services and of Advisory Services. Ibis represented the outcome
of a series of changes vhich had been made in keeping with the evolution of the Organ-
l 2 a t l 0 n 0 V e r p a s t a e c a a e ' A f t 过 sxerizing the changes vhich had been introduced
in 1958 and from the beginning of 1959, the Director-Oeneral referred particularly to
those which he was proposing for i960. As explained in the Introduction (page XVI)
these involved the establishment of a fourth post of Assistant Director-General； the
creation of a new unit of activity with the designation "Organization of Medical Care"；
the splitting of the Division of Organization of Public Health Services into two • the'
Division of Public Health Services and the Division of Health Protection and Promotion；
аПЙ t h G C r e a t i o n o f a ^Párate unit of activity, within the Division of Comunicable
.Diseases, to deal with virus diseases,
3 ' W i t h r e g a r d 1 : 0 t h e changes in the organizational structure of the Secretariat as
outlined by the Diroctor-General the Chairman called the attention of the Committee to
the fact that the Executive Board Ш previously undertaken a study of that structure, a n d S U g g e s t e a t 0
彻 C 0 m m i t t e e that it may wish to refer the matter to the Executive '
Board for cousideration, as one of the questions of major importance vhich, in accordance
Z l V t S t e m S r e f e r e n C e ' t h e Committee was required to formulate for discussion in
Handbook of R?BolutlonS and Decision^ 4th ed., p. 209
EB25/AP/5 page 69
4. After discussion of the principles involved, particularly the role of the
Executive Board regarding the organizational structure of the Secretariat in the
.light of its previous study of this structure, the Committee requested the
"Hreotor-Oeneral to submit a full report on the history of the organizational
changes in that structure. In response to this request the Direotor-General
submitted the following report which, in view of the importance .of the matter, is
quoted ln .full:
"1. Second World Health Assembly
1.1 The Second World Health Assembly hai for consideration the report of the , 1
Joint Meetings of tále Committees on Progranme and Aâ»îal8twtion and Finance,
which. Inter alia, read as follows:
"In addition to the adjustments made which have res\üted in the
revised 1950 programme and budget now presented, given in Annex. 1, the
Joint meeting discussed generally the matter of the administrative
estimates. It noted with satisfaction the comments of the External
Auditor as given in Official Records Nc. 20, as an index of th© general
financial and administrative efficiency of WHO. Hcwever, It request»
the Executive Board to examine the organizational structure in greater
detail, so that it may assist the Health AssemWLy to ensure the
atoinietrative efficiency of the Organization, and to esta^li^i gmeral
lines of policy in this respect." - -
J.2 On the recommendation of those eo»nmittees, the Worl# Health Assembly 2
adopte* the following resolution (WHA2.78).
"The Second World Health Assembly
1. ADOPTS the programme and budget as set out in Official Regords No. 18, as revised by the resolutions of this Assembly;
2. NOTES with satisfaction the comments of the External Auditor as given in Official Records No. 20; and
3. REQWESTS the Executive Board to examine the organizational structure во that the Third World Health Assembly may be assisted in ensuring the administrative efficiency of the Organization and establishing general lines of policy in this respect."
1 Off. Reo. Wld Hlth Org. 2 1 ,弗 9
2 Handbook of Resolutions and Decisions, 4-Ы» ed., pp„ 11Ô, 284
EB23/AF/3 page 70
2. Fifth Session of the Executive Board
2.1 In January 1950, the Standing Committee on Administration and Finance,
in eoroplianoe with the request of the Second World Health Assembly, examined '、
the organizational structure and administrative efficiency of the Organization.
The Director-General had prepared and submitted to the Committee organizational
charts and functional statements showing in detail the structure of the
Organization. These documents were used as the basis for the discussions In
the Standing Committee, and later in the Board.
2 . 2 Committee recognized that the structure of WHñ reflected the diverse
origins of the Organization and the history of its development. The Co細ittee
commented that "Шв history of WHO emphasizes the need to examine the
organization and administration in the light of the many factors which have
contributed to the Organization's present form w. 1 Those factors were
summarized as the Constitution, the inherited functions of the Organization,
the Interim Commission, the First and Second World Health Assemblies, and the
Executive Board.
2.5 The Committee examined the basic principles applied by the Director-General
in planning the Administration and Organization of WHO (Official Reooyds No. 26
Annex 3) which the Director-General had suttnitted to the Board with |he following
coraroent: "The principles enumerated herein are well-known and it may seem
rather superfluous to re-enumerate them. However, it is felt that the
Executive Board wA.1 wish to be assured that the Director-General, in carrying
out his responsibility as chief aiminlstrative officer of the World Health
Organization, is applying well-recognized and widely accepted principles of
organization and administration". The Committee unanimously accepted the
principles submitted by the Director-General, having added a provision to the
effect that "the Organization as a whole (and each part of it) should exist о
to serve defined purposes".
-
Off. Reo. Wld Hlth Org. 26, 22, 107
2 Off. Reo. Wld Hlth Org. 26, 23, 1Í8
EB25/AP/3 page 71
2.4 In its study of the organizational structure of the Organization, the
Ccmmittee recognized that any arrangement would be cf щ somewhat arbitrary
character in that it would have to ignore certain natural affinities between 1
various technical functions and procedures". The Committee also "noted the
observation of the Direotor-General that he necessarily must retain authority
to transfer sections from any division in wjiich an excessive supervisory
workload develops and also to increase the number of divisions at suôh time
as thç work of the Organization so warranted1* • At the same meeting, the
Committee recommended that the Director-General give further consideration to
certain organizational questions in the light of scane suggestions which had ' ' '
been made.
3 2.5 The Executive Board adopted the following resolutions
. . . ¿ ‘
"The Executive Board ^
1. APPROVES that part of the report of the Standing Ccnraittee on Administration and Finance dealing with organizational structure and administrative efficiency; and
2. REQUESTS the Standing Committee on Administration and Finance to study these matters further in the future, taking Into consideration changes which may be made by the Direotor-Gaieral as the result of the requirements of the Organization, including the technical assistance programme."
. . í . . , , v.. '-
，• l^ird World Health Assembly
The Third. World Health Assembly, having oonsidered tiie report of the 4
Board, adopted the following resolutions
"The T3iird Wcrld Health Assembly,
1. NOTES the report of the Executive Board dealing with the organizational structure and administrative efficienoy of the Organization;
2. COMMENDS the Executive Board on the thoroughness of its workî
1 Off. Rec. Wld Hlth Org. 26, 28, 156
2 Off. Rec. Wld Hlth Org. 26, 28, 159
、Handbook of Resolntions ana Decisions， 4th ed., p. 284, ЕБ5.Н102
^ Resolution WHA5.89, Handbook of Resolutions and Deolslons, 4th ed., p. ？04
3. AGREES that the organizational structure is generally sound and effioient and follows the terms of the Constitution and the decisions of the Health Assembly and the Executive Board;
5. REQUESTS that the Executive Board instruct its Standing Committee on Administration aná Finance to examine critically the organization of the Secretariat at Headquarters and at the Regional Offices, with a view to keeping the teohnioal and other staff employed Ъу the Organization at Headquarters and Regional Offices at the minimum level compatible with the efficient discharge of the duties and functions of the WHO;
6» . . .
7. REQUESTS that
⑴ a further report on the results of its work Ъе furnished to the Fourth World Health Assembly
(2) the Executive Board, ask its Standing Committee on Administration and Finance in its further discussion and examination of the organizational structure and administrative efficiency of the Organization to take into account the discussions of the Committee on Administration, Finance and •Legal matters at the Third.World Health Assembly, and to take •into consideration changes which may be made by the Director-General as a result of the requirements of the Organization, including the Technical Assistance Programme and the progress of decentralization, with particular reference to
(a) decentralization
(b) staffing, including level, maximum use of local personnel in field projects, and geographical distribution；
(c) examination of Assembly procedures;
(d) documentation;
(e) the necessity for travel, and the cost thereof;
(f) the organizational structure and efficiency of regional offices;
(g) liaison activities - organization, efficiaicy and eost.*
EB23/AF/5 page 735
4. Sixth and Seventh Executive Boards
4.1 The Executive Board at its sixth session re-established the Standing 1
Committee on Administration and Finance and
"5. INSTRUCTS this oommittee to continue with its study on the organizational structure of the Secretariat and, in particular, to examine and report to the Executive Board its conclusions and recommendations on the following subjects:
(a) deüentraliüation;
(b) staffing, including level, maximum use of local personnel on field projects^ and geographical distribution;
(c) examination of Assembly procedures;
(d) documentation;
(e) necessity for travel and the cost thereof]
(f) organizational structure and efficiency of regional offices;
(g) liaison activities - organization, efficiency and oost;
(h) status of contributions；
(i) procedure for consideration of the programme and budget at the Po'irth World Health Assembly;
(j) review of financial regulations¡
(к) review of staff regulations."
Executive Board continued its study at its seventh session and
to the Fourth World Health Assembly the report which appears in
Official Records No. 53» pages 27-35, and which deals with the items
enumerated in resolution EB6.R24, a part of whioh is quoted in paragraph *
4.1 above.
5. Fourth World Health Assembly
о
5.1 The Fourth World Health Assembly, "having considered the report of the
Executive Board on the organizational structure and administrative efficiency
of the Secretariat", approved the work whioh the Executive Board had done during
1951 and
1 Handbook of Resolutions aqd Decisions, 285, EB6.R24 p —
Handbook of Resolutions and Decisions, 285, WHA4.55
4.2 The
presented
EB2. page
3/AF/^
"2. REQUESTS the Executive Beard to continue its studies on the organizational structure and administrative efficiency of the World Health Organization, including the level of staffing, and to give particular attention to the subjects ofÎ
(a) biennial assemblies, and
(b) publications; and further,
REQUESTS that in pursuance of the resolution on the subject of biennial assemblies adopted by the Third World Health Assembly (resolution WHA3.96) the Director-General should give special attention to the study of this matter and should report to the Executive Board at its ninth session so that this report may be transmitted to the Fifth World Health Assembly, together with such comments and recommendations as the Board may wish to submit."
5.2 After that decision of the World Health Assembly, organizational studies
were made of the following subjects:
Biennial assemblies Publications Education and training Regionalizetion Programme analysis and evaluation Programme planning
6. Later Developments
6.1 Since the decision of the Third World Health Assembly, referred to in
paragraph 3.1 above, it has been considered that changes in the organizational
structure of the Secretariat are matters of internal administration, under the
decision of the Director-General, and that the Executive Beard and the World
Health Assembly always exercise a budgetary control over the type of
organization.
6.2 Since that time, the following changes in the organizational struoture of
Headquarters have been incorporated fcy the Mrector-General in his annual
programme and budget estimates:
EB25/AF/5 page 75
6.2.1 In the Programme and Budget Estimates for 1952, the Co-ordination of
Research Section in the Division of Therapeutic Substances was suppressed and,
in the same division, an Antibiotics and. Insecticides Section was established.
6.2.2 In the 1953 Programme and Budget Estimates, a Division of
Environmental Sanitation was established within the Department of Advisory
Services at Headquarters. In reporting to the Assembly on the establishment
of this new Division, the Executive Board noted that this development in the
organizational structure had been accomplished by internal changes and had
not required any additional posts in the 1953 budget.
6.2.5 The 1954 Programme and Budget Estimates incorporated the following
changes in the structure of Headquarters:
(i) The Pivision of Co-ordination and of Planning and Liaison was
replaced by three separate offices, directly responsible to the
Director-General s the Office of Technical Assistance, the Office of
Reports and Analysis and the Office of External Relations of which last
the staff of the New York Liaison Office formed a part.
(ii) In the Départaient of Central Technical Services, the former
Division of Health Statistics was amalgamated with the Division of
Epidemiological Services, the combined Divisions being called the
Division of Epidemiological and Health Statistical Services.
(iii) in the Department of Administration and Finance, the work of the
former Office of Conference and General Services was assumed by the
Conference and Office Services Section, constituting part of the Division
of Administrative Management and Personnel, and by the Office of Supply,
concerned almost entirely with the procurement of programme supplies and
equipment.
6.2.4 The Direotor-General reported to the Executive Board at its fifteenth
session (1955) on the nevr responsibilities of WHO with regard to atomic energy
in relation to medicine and public health.1 In that report, the Wrector-
Oeneral informed the Beard that in the event of it being possible to do so, he
1 Off. Reo. Wld Hlth Org. 60, Annex 5
EB23/AF/5 page 735
would submit to the Eighth World Health Assembly supplemental estimates to
provide for such activities as could be envisaged in 1956. The Director-General
submitted to the Eighth World Health Assembly the estimated costs of the new . 1
activities in 1955 and I956. Per 1955, the costs were absorbed in savings
accrued by the time of the Eighth World: Health Assembly and the costs for 1956
were added to the budget estimates for that year. The organizational unit
thus created has appeared in subsequent Programme and Budget Estimates.
6.2.5 The 1958 Programme and Budget Estimates showed the following
organizational changes:
(i) Following the approval of the Executive Board at its seventeenth
session of the steps taken by the Director-General with regard to the role
of the Tuberculosis Research Office in the Tuberculosis Programme, the
Tuberculosis Research Office was shown as a sub-unit of the Tuberculosis
Section in Appropriation Section 5*
(ii) The Epidemiological Intelligence Station, Singapore^ was transferred
to the Western Pacific Regional Office.
6.2.6 In his proposed Programme and Budget Estimates for 1959, the Director-
General reported the following structural changes at Headquarters which he had
found it necessary to introduce in 1957 in the light of altered circumstances
and with a view to improving operating efficiency;
(i) In the light of the development of the Malaria Eradication Programme
a post of Director of Malaria Eradication was created, responsible to the
Assistant Director-General and advising on malaria eradication policies and
techniques and directing the activities of the Organization in this field, the
Malaria Section reporting directly to the Director, Malaria Eradication.
(ii) Following a review of the work within the Office of the Director-
General, the Division of External Relations and Technical Assistance was dis-
established. Those of its functions whioh relate to the Expanded Programme of
Technical Assistance were transferred to the Department cf Advisory Services,
while those concerned with the external relations of the Organization became the
responsibility of a new office of External Relations, reporting to the Office СЛ
the Director-General.
1 0ff4 Reo. Wld Hlth Org. Annex 11, Appendix
EB25/AP/3 page 77
(ill) Following the disestablishment of the former Office of Reports and
Analyses, a new Office of Progranme Co-ordination and a new Office of Programme
Evaluation were established within the Bepartment of Advisory Services, with a
view to improving the overall planning and the follow-up of the operating
programme of the Organization.
7. Organizational changes reflected in the proposed Programme and Budget Estimates for I960 (Official Records No. 89)
7.1 The Director-General has reported in the introduction to his proposed
Programme and Budget Estimates for I960 the organizational changes which he
found it necessary to make in 1958 and 1959, and which he will make in I960,
subject to the budgetary decisions of the World Health Assembly.
7.3^1 In 1958, these were as follows:
(i) The sections of Exchange of Scientific Infoimation and Assistance to
Educational Institutions in the Division of Education and Training Servioes
were abolished and two new sections were established. The titles of the
new sections are Education in Medicine and Allied Subjects and Public Health
Education and Training.
(ii) A Special Office for General Medical Research Planning attached to the
Office of the Director-General was established.
(iii) with effect from 1 December 1958, the Departments of Advisory Services,
Central Technical Services and Administration and Finance were abolished as
organizational entities. Prom that date each Assistant Director-General
was responsible for directing the activities of certain divisions and
offices as aeaigned by tbe Diraotor-General.
7.1.2 In 1959, the changes effected were:
(i) The Division of Epidemiological and Health Statistical Services was
transformed into the Division cf Health Statistics. International
Quarantine was transferred to the Division of Communicable Disease Services
and the remaining sections were converted and renamed as follows :
EB23/AF/3 page 78
Health Statistical Methodology (formerly Statistical Studies)
Consolidation of Health Statistics (formerly Epidemiological Studies)
International Classification of Diseases and Development of Health Statistical Services (formerly International Classification of Diseases and Causes of Death)
(ii) The Division of Therapeutic Substances was renamed the Division of
Biology and Pharmacology, to consist of the Office of the Director and
the following:
Radiation and Isotopes (formerly Atomic Energy in Relation to Health in the Office of the Director-General)
Biological Standardization (no change)
Pharmaceuticals (no change)
Addiction-Producing Drugs (no change)
(iii) Health Laboratory Methods was transferred to the Division cf
Organization of Public Health Services and its title changed to Health
Laboratory Services. Part of the responsibilities of the foraier unit
were taken over by other organizational units, as follows:
1. Endemo-epidemic Diseases are responsible for the work in connexion with the Shigella, Escherichia and Salmonella Centres.
2. Nutrition is responsible for the work in connexion with Pcod Additives.
(iv) Two new units of activity were created in the Division of
Organization of Public Health Services:
Cardiovascular Diseases
Cancer
(V) One new unit of activity was created in the Division of ConrovmiceMe
Disease Services:
Leprosy
EB25/AP/5 page 79
1.3 In I960, the further changes are;
(i) The addition of a fourth Assistant Director-General
(ii) The creation of а хшм unit of activity: Organization of Medical Care
(iii) The splitting of the Division of Organization of Public Health
Services into two divisions.
(iv) The creation of a separate unit of activity dealing with virus
diseases,"
EB23/AP/5 page 80
5. The Committee agreed that the matter was one of major importance and decided
to include it amongst the questions to be discussed in the Board» The Committee
decided also to bring to the attention of the Board the proposed creation of a
fourth post of Assistant Director-General - an integral part of the organizational
changes envisaged by the Director-General - as another question of major importance
to be discussed in the Board. Accordingly, further reference to these questions is
made in Chapter V of tíais report.
6. As a result of its analysis of the estimates for Programme Activities
(Headquarters), as detailed in Appendix 6, the Committee found that the net irwrease
of t 钩7 555 in these estimates as compared with 1959 resulted from the following
differences :
Requirements £ar salary incremente relating to
established posts
Provision for thirty-five new posts
Increased requirements for
46 271
Ш 279
(c) duty travel
Increased requirements for common services
Increased provision for contractual technical
(a) temporary staff
(Ъ) ehort-term consultants
4 600 1A 300 12 800 38 111
services and other forms of research co-ordination
Increased requirements for printing of publications
Provision for staff training
Net increase in requirements for other activities
28 500
12 000
30 000
2 700
323 561
Less： Economies resulting from the discontinuation
of three posts in the ТВ Research Office
Less: Reduction in provision for -
(3 598)
Grants
Study Groups
(10 000)
(12 430)
Net increase 297 533
EB25/AF/3 page 8l
7. With regard to the thirty-five new posts proposed for I960, the Committee
noted that the organizational units and the posts concerned were as follows :
Д.1 Offices of Assistant Director-General (pages 22 and 51)
One Assistant Director-General Ш
One administrative assistant PI
One secretary G6
One secretary G4
One clerk stenographer G3
4.2.0 Health Statistics : Office of the Director (pages 22. g3 and 51)
One supervisor PI
Three clerks
4.2.3 International Classification of Diseases and Develoianent of Health Statistical Services (pages 23 and 5 2 ) 一 一
One clerk 05
4.3.1 Radiation and Isotopes (pages 24 and 53)
One scientist P4
One technical assistant PI
One clerk stenographer G3
4.5.3 Veterinary Public Health (pages 30 and 56)
One public health veterinarian P4
One clerk stenographer G3
Д.5.Л Virus Diseases (pages 31, y¿ and 56)
One medical officer P4
One technical assistant PI
One clerk stenographer G3
Л.5.5 Endemo-epidemic Diseases (pages 32, 33 and 56)
One chief medical officer P5
One secretary
One clerk stenographer G3
4.6.1 Public Health Administration (pages 3U, 35 and 57)
One clerk stenographer 03
EB23/AF/5 page 82
4.6.2 Organization of Medical Care (pages 35 and 57)
One chief medical officer P5
One secretary GA
4.6.3 Health Laboratory Services (pages 35, 36 and 58)
One sóientist P2
4.7.0 Health protection and promotion: Office of the Director (pages 37 and 59)
Л»8»2
4*10.0
One director
One administrative assistant
One secretary
Nutrition (pages 38, 39 and 59)
One secretary
Rural sanitation (pages 41 and 61)
One secretary
D2
PI
G5
G4
G4
4.X0.3
4.10.Í
Editorial and Reference Service。： Oitxù^oî the Director..(pagoe„44, 4.5「гуат r
Stenographic Pool
Two clerk stenographers G3
Official Records (pages 45, and 64)
One editor
Translation (pages 46 and 6Д)
One translator
One translator
P2
P4
P3
8. As regards the net increase of $ 14 300 in the requirements for consultant
services, the Committee found that new or increased requirements for the following
organizational units amounted to $ 39 000 and that this amount was offset by
decreased requirements for other organizational units, totalling $ 24 7 0 0 . .
EB23/AF/3 page 85
Additional number of consultant,
months
Amount of Increase
Л.5.2 Biological standardization (pages 25, 26
and 55)
4.3.3 Pharmaceuticals (pages 26 and 53)
4.3.4 Addiction-producing drugs (pages 26, 27
and 5杯）
4.5.4 Virus diseases (pages J>1, 32 and 56)
4.5.5 Endemo-epidemic« diseases (pages 32, 33 and 56) •
4.6.1 Public health administration (pages 35 and 57)
4.6.2 Organization of medical care services
(pages 35 and 57)
4.6.6 Maternal and child health (pages 57 如d 58)
4.7.5 Cardiovasculer diseases (pages 59, Ю and 60)
4.7.6 Cancer (pages 40 and 60)
4.8.3 Vector control and pesticides (pages 42 and 61)
i^.8.4 Environmental biology (pages 42 and 6l)
4.9.5 Public health education and training (pages and 62)
Less, Decreases in the requirements of other organizational units
2
2
6
1
1
3
2
5
1
5
50
(19)
$
1
1.
2
1
2
3
600
9G0
600
8OO
300
500
900 600
300
.600
900 500
5 900
59 009
(24 700)
Net increase 11 14 500
9. As regards duty travel the Committee found thst increased requirements totalling：
$ 18 匆0 are partly offset by decreases within the same expenditure code to the extent
of $ 6100 thus resulting in the net increase of $ 12 800. The organizational units
for which increased provision for duty travel had been included and the additional
amounts involved are as followsl
EB23/AF/5 page 84
ДД Offices of the Assistant Directors-General (pages 22 and 51) 2 000
4.2.0 Health Statistics : Office of the .Director (pages 22, 2，and 51) 200
4.2.1 Health Statistical methodology (pages 23 and 51) 400
4..2.3 International classification of diseases and development of
health statistical services (pages 23, 24 and 52) 800
4,3.0 Biology and Pharmacology: Office of the Director (pages 2Д
and 52 600
Д.З.З Hiarmaceuticals (pages 26 and 53) 500
Д.4.0 Malaria eradication (pages 27 and 54) 500
4.5.2 Venereal diseases and treponematoses (pages Z9-, 30 沾在 55) 2 0 0
Д.5.3 Veterinary public health (pages 30, Jl and 56) 400
4.5.4 Virus diseases (pages 31, 32 and 56) 400
4.5.6 Leprosy (pages 33 and. 56) 900
Д.602 Organization of medical care (pages 35 and 5?) 2 500
4.6.3 Health laboratory services (pages 35, 36 and 58) 500
4.6.5 Health education of the public (pages 36, yj and 58) 2 0 0
4.6.6 Maternal and. child health (pages 37 and 58) 400
4,7,0 Health protection and promotion： Office of the Director
(pages 37 and 59) 2 2 0 0
Д,7,2 Mental health (pages 38 and 59) 1 400
4.7.3 Nutrition (pages 58, 59 and 59) 1 ^ 0 0
4.7.4 Dental health (pages 39 and 60) 200
4,7,6 Cancer (pages 40 and 60) 600
4.8.0 Environmental sanitation: Office of the Director (pages 40
and 60) A00
Д.8.1 Iü-Ъап sanitation (pages 41 and 61) 500
4.8.2 Rural sanitation (pages 41 and 61) 600
Д.8.3 Vector control and pesticides (pages 41, k2 and 6l) 600
4„8.4 Environmental biology (pages 42 and. 61) 500
18 900 bess Decreases in the requirements for other organizational
units 6 100
Net Increase 12 8OO
EB2VAF/3 page 85
Ю. The Committee fotuid that the increase of $ 3 8 U i in the requirements for •• • . . . • .
common services' reflects the apportionment to Appropriation Section 4 - Programme
Activities - of the total estimated common services costs at Headquarters. The
Committee's findings regarding the total requirements for common services, are set
out in the appropriate part of this report.
XI, Provision,is included in the proposed I960 estimates for one grant-in-aid at
a total estimated cost of $ 20 000 as against two In 1959 at a total estimated
cost of $ 30 000 ( p a g e s ' ^ and 65).
12. The provision for contractural technical services and other forms of
research co-ordination reflecta a net increase of $ 28 500 resulting, from the
following changes in fhe proposals for I960 as compared to 1959t
Estimated expendlttare "W9
A.
.1 Radiation and Isotopes
Studies on maximum permissible radiation doses (pages 25 and 65)
Studies on the measurement of medically used radiation and isotopes (pages 25 and 65)
.1 Tuberculosis
Tuberculosis Research Institute, Prague (pages 29 and. 66)
ТВ eradication pilot study, (Methodology and evaluation) (pages 29 and 66)
•2 Venereal Diseases and Treponematoses
WHO serological reference laboratories, Copenhagen and Chamblea (Georgia) (pages 30 and 66)
•‘ Virus Diseases
Virus and rickettsial diseases including influenza (pages 31 and 66)
Studies on arthropod-borne virus diseases (pages 32 and 66)“
: ;
Smallpox； co-ordina-bibn of research . (pages 32 and 66)
I ^ Ó "
9 ООО
ООО
1 ООО
ООО
Increase (Ресгеаэе)
9 ООО
ООО
1 ООО
ООО
1 500
500
500
ООО
2 ООО
ООО
L ООО
(500)
г ооо
)ООО
page 86
Estimated expenditure Increase 1959 I960 (Decrease)
" T ПГ
4,5,5 Endemo-epidemic Diseases
Bilharziasis studies (pages 33 and 66)
厶.5.6 leprosy
Leprosyг co-ordination of research (pages 33 and 66)
Д.7.3 Nutrition
Indian council of medical research (study of anaemia) (pages 39 and 66)
2 000
1 000
000
a ooo
ООО
i ooo
000
000
28 500
13, The GoramiMee also noted that three study groups are proposed for I960
at an estimated total cost of $ 27 600 as compared to five included in the
estimates for 1959 at an estimated cost of $ 40 030 resulting in the decrease of ,
$ 1 2 •杯30. Tno study groups proposed for I960 and the organization units concerned
are as follows :
A.3.2. Biological Standardization
Study group on recommended requirements for biological substances (pages 25 and 67) 翁 6 ^ 0 0 ,
4.3,3 Pharmaceuticals
Study group on quality control of new pharmaceutical preparations (pages 26 and 67) 银 8 400
4.5.Д Virus Diseases
Study group on anthropod-borne viruses (pages 32 and 67) ^ I
0 800
$ 27 600
1Д. The requirements for publications have increased by $ 12 000 as-c<Miparëd
with the 1959 estimates. This increase results mainOy from the increased
number of pages of most of ths publications and. the increased mraiber of copies “ /
of the E n f o l d p n d Spanish versions of the chronicle of the World Health
Organization.
ЕВ23/АР/3 page 87
15, As regards the amount of $ 30 ООО included in the estimates under 4.1 Offices
of the Assistant Directors-General) the Committee noted that for the reasons
explained below (under item 4.1/ paragraph page 90) this was intended to enable
professional staff members to undertake advanced scientific training in the interest
of the Organization.
16. The net increase of $ 2700 shown in Appendix 6 under the heading "Other"
resulted from an increase in the cost of contractual editorial services in an amount
of $ 25OO (pages 45 and 67) and an increase of $ 200 in the purchase of pharma-
ceuticals for the purpose of assaying (pages 26 and 67).
17# To enabla the Committee to study the detailed estimates for Programme Activities
(Headquarters) in relation to field activities and the total estimates, a member of
the Committee requested that information be submitted showing the tg/tal estimated
expenditure by major subject headings Accordingly the Director«General submitted a
statement. (Appendjjc 8) showing, for the years, 1958, 1959 and i960, the total estimated
expenditure under the Regular budget夕 by .major subject heading to the extent possible,
broken down to show Headquarters, staff costs (including all related costs), expert
committees., grants and contractual technical services, other activities including
study groups and field activities (including Regional Advisers and similar regional
personnel). For purposes of comparison in Section A of the statement^ the estimated
expenditure relating to Headquarters activities has been grouped to the extent possible
under the various major subject headings used in the classification of field activities.
Programme activities which do not lend themselves to classification under any specific
major subject-heading have been included in Section В of the statement. To permit of
reconciliation with the total budget estimates all activities other than programme
activities have been included in ^ o ^ x m C. As adjustments have been made to the
estimates to take account of economies аз v;ell as additional costs which may result
from lapses in effecting replacements^ delays in the implementation of new projects
and staff turnover, the net amount of these plus and minus factors is shown at the
end of the statement.
EB23/AF/3 page 88
18. The Committee4 s observations on the estimates for the various units of
activity, as presented, in Official Records No. 89, made in the light of its detailed
analysis are set out below.
4.1 Offices of the Assistant Directors-General (pages 22 and. 51)
1. With regard to the proposed establishment of an additional post of Assistant
Director-General, which the Committee agreed was a question of major importance to
be discussed in the Board (see paragraph 5 above), mexribers of the Canraittee requested
information as to the type of work for which the new Assistant Director-General
would be responsible. In response to this request the Director-General explained
that the actual assignment of divisions among the Assistant Direetors-General will
depend on many factors, including the relative volume, complexity and importance of
the work of the divisions, decisions of the World Health Assembly on new responsibilities
to be undertaken, etc. He assumed that Public Information, External Relations, the
Liaison Office with the United Nations and Medical Research will continue to report
directly to the Office of the D irect or-General, The functions of Programme
Co-ordination and Programme Evaluation would be studied later to consider the beet
arrangement to be made, including consideration of placing these functions under
one or more Assistant Directors-General. In the light of these considerations the
Dtrector-General gave the following as a possible groupings
(A) Assistant Direetor-General
Malaria Eradication
Environmental Sanitation
Communicable Diseases
(B) Assistant Director-General
Public Health Services
Health Protection and Promftion
Health Statistics
page 89
(С) Assistant Director-General \ i i. • ••丨 i- -- i - mm m i т ,, r…•、-.、^^ • ••»• it
Education and Training
Editorial and Reíerence Services
Biology and Phannacology
(D ) Assistant Direc1^r-(teneral
Internal Audit
Legal Office
Administrative Management and Personnel
Budget and Finance
This possible grouping is illustrated below:
A POSSIBLE DISTl^BUTION OF RESPONSIBILITIES AT HEADQUARTERS IN I960 AS INDICATED BY THE DIRECTOR-GENERAL
Office of the Director-General
Division of Public Information
Г Assistant
Director-General
Division of Malaria Eradication
Division of Environinental Sanitation
Division of Communicable Diseases
External Relations
Medical Research Hauning
Assistant Director-General
Division of Organization of Public Health Services
Division of Health Promotion and Protection
Division of Health Statistics
Assistant Director-General
Division of Education and Training
Division of Editorial and Reference Services
Division of Biology and Phaimacology
Liaison with United Nations
Assistant Director-General
Legal Office
Internal Audit
Division of Administrative Management and Personnel
Division of Budget and Finance
page 90
2. In response to further çfjestions) the Direotor-General stated that group (A)
related essentially to control cf diseases and thus to the fields of epidemiology
and propiylaxis。 In group (B) the basic functions of public health administration
and health protection and promotion would be brought together and it had seemed
logical to include health statistics in this group, while recognizing that arguments
could be advanced for placing statistics in group (A), Group (C) would be somewhat
heterogeneous but this could unfortunately not be avoided. Education and Training
being the major function in the group had undoubtedly some link with Editorial and
Reference Services ^hich produced technical reports and various other publications
of the Organization of importance in this field. Biology and Pharmacology^ on the
other hand, required what might Ъе termed a more scientific approach in such specific
fields as, for instance, Biological Standardisation and Radiation and Isotopes.
He emphasized that it was difficult to suggest any crystallized structure since the
various functions were greatly inter-related. It should be ocrne in mind that the
possible grouping of divisions new suggested had been arrived at by taking account
not only of technical reasons, but also of practical considerations, it being
impossible for one Assistant Director-General to a s sup-e... responsibility for all
activities which might be considered, as related. He stressed the fact that whereas
the possible division of responsibilities outlined Ъу him seeraed to be the best at
the present time^ later events might make it neeessaiy to reconsider it and to
introduce such modifications as any expansion of activities may require. He believed
that that type of flexibility was necessary in the best interests of ths Organization.
Meanwhile, although ths former departments have been disestablished, no changes in
the responsibilities of ths present Assistant Directors-General have been made.
3. With regard to the prevision for study leave, a member of the Coinmittee asked
for further information as to the reasons for introducing this new item of expenditure,
since clearly all WHO staff were highly trained, Гл reply the Director-General
stated that if WHO was to remain the dynamic Organization ifc was at present it was
essential that every effort be made to keep the staff abreast of progress in their
respective fields. The Staff Rules provided for study leave and in 1951 provision
had been made for two fellowships for further training in public health and sanitary
engineering. Subsequently, fm-bher training had been provided under the auspices
EB23/AP/!5 page 91
of the Kellogg Foundation until 1956 and by the Rockefeller Foundation, which
continued to provide three or four fellowships each year. The latter foundation
had originally expressed the hope that the Organization would eventually be able to
build up its own training programme and not rely indefinitely on the Foundation.
4. in reply to a further question as to the procedure followed in the selection of
candidates, the Director-General stated that names were put forward by either the
regional directors or the Assistant Directors-General and. three or four staff members
out of about twenty-five candidates in each year were selected. It was hoped that
the Rockefeller Foundation might provide five fellowships for the present year and
the amount included in the proposed estimates for I960 would cover five or six.
5. Whilst he agreed that it was highly desirable for a high level of training to
be maintained amongst the staff of Ш0, a member of the Committee questioned whether
further training of that type was the best way, and enquired as to the fields in which
such fellowships were provided. In reply the Director-General stated that the
largest пгзгаЬег had been granted for general training in the public health field
(as shown in Appendix 9), and had been given only to staff members whose worth had
already been proved in the service of the Organization.
6. Noting that most of the leaves had been granted for basic training in public
health administration, a member of the Committee expressed doubt that this constituted
real specialization and felt that WHO staff should possess such qualifications before
joining the Organization. In reply the Director-General stated that such training
was not necessarily a prerequisite to service in the Organization. For example,
study leave for training in public health had been given to staff members specialized
in tuberculosis who had joined the Organization in the early days. Such training
had greatly enhanced their value to the Organization. Study leave had proved
especially useful when given following some years in the field in nursing and sanitary-
engineering for example.
7. In reply to a further question as to the cost to the Organization of such study-
leave for which fellowships were provided by the Kellogg and Rockefeller Foundations,
the Dtreetor-General stated that as study leave was granted without pay the Organization
continued to be committed only to the extent of maintaining its contributions in
EB23/AP/!5 page 92
respect of the st-afi members1 pension and insurance; Arr/ replacement that might
have to be made in the case of extended study leave was covered by the salary already
authorized for the post and no additional funds were expended by the Organization
for the purpose.
Д.2 Health Statistics (pages 22-24 and 51 and 52)
With regard to the proposed establishment of a mechanical equipment unit in
the Office of the Director, a member of the Committee enquired as to the use to which
the v.nit would be put。 The Committee was infomod that it was intended mainly to
deal with individual observations as collected in field projects for the benefit of
research• A large rmmber of cards was already available for analysis and had not
yet been fully exploited awing to lack of the necessary machinery. That machinery
was not intended to deal with national data collected for publication of statistical
information，as it did not lend itself to that purpose. Other te'ohnioal units would
be able to benefit from the machines; the unit had been directly placed under the
Director of the Division of Health Statistics in order to make it more readily
available.
2. In reply to a question raised \r the Chairman,十 he D ire et or-Gener al stated that
the expert coimittee on health statistics (Official Reoords No‘89^ page 24) was
proposed on the basis of a recommenàaticn by the Expert Committee on Health Statistics
which had met in October 1958 and was intended to study- mainly the question of
morbidity statistics and methods suitable for sickness surveys in order to attain
better standardization Ф
3, In response to a request for further information on the work of the WHO Centre
for the Classification of Diseases (page 24) the Director-General stated that the
Centre had actively contributed to the preparation of the Seventh Decennial Revision
of the International Classification of Diseases, The Revisión Conference had
recommended that Ш0 statistical services be concentrated in future on methods
suitable to underdeveloped countries and on morbidity statistics. The work of the
Centre had been reorientet. d accord-lnsly, Ser^ral co^ontrier ^ d e use of the facilities
offered by the Centre, which had proved of assistance to the Expert Committee on
Health Statistics in 1958,
EB23/AP/!5 page 93
4,3 Biology and Pharmacology (pages 24-27 and 52 and 53)
1. The Director-General reminded the Committee that this renamed Division had
replaced the former Division of Therapeutic Substances and was one of those affected
by the changes in the organizational structure referred to in the Introduction and
which previously had been discussed by the Committee under the item "4. Programme
Activities"• The only staff changes proposed were the addition of posts of
scientist, technioal assistant and с1erк-stenographer under M4 #3.1 Radiation and
Isotopes".
2. The Committee noted that it was proposed to convene in i960 five expert
committees within the scope of the Division and that provision for them and for a
meeting of the Sub-Committee on Non-Proprietary Names had been included in the
estimates under Appropriation Section 62 Expert Committees.
Referring to the item 斗•；5Л Radiation and Isotopes, the Chairman enquired
whether, in view of the need for WHO to assume general responsibility for the health
aspects of atomic energy, the Organization was keeping sufficiently abreast of
developments in that field to acquire and maintain a leading position. In reply the
Director-General stated that, although the task was certainly a formidable one WHO
had obtained valuable support and help from the International Commissions on
Radiological Protection and on Radiological Units and Measurements, which met every
second or third year to draw up new agreed criteria arid definitions. WHO had alse
been given valuable assistance by national atomic commissions^ particularly in the
provision of training facilities, which had made it possi&le to hold courses in
radiation problems for health physicists at little cost to WHO itself. Co-operation
with the International Atomic Energy Agency, the United Nations Scientific Committee
on the Effects of Radiation, РАО and the ILO was expanding, with beneficial results.
Whilst he recogiized the desirability of recruiting more specialized staff for WHO,
it was extremely difficult to fill such posts owing to the shortage of qualified
persons and to the great national demand for them. For these reasons he believed
that it would be wise for WHO to proceed cautiously•
EB23/AP/3 page
4. In reply to a question as to the precise purpose of the Study Group on the
Quality Control of New Pharmaceuticals, the Dire сtor-General stated that there had
been Duch discussion on the standardization of the requirements laid down as to
quality and specifications of drugs. The methods of control prior to sales differed
widely and it was proposed to study those methods to ascertain whether some
uniformity could be introduced. The group would also study the possibilities of
some form of control of therapeutic quality.
5. Noting that provision had been made for grants under item Biological
Standardization for the Tuberculosis Immunization Research Centre (TIRC) and under
item 4.5*1 Tuberculosis for the Danish Tuberculosis Index, a member of the Ccmimittee
enquired whether there was any difference in their activities and also those of the
Tuberculosis Research Office (TRO)•
The Director-General explained that TIRC was a laboratory set up jointly by
the Danish Government and WHO in 1951 because it had been felt that TRO and the
various tuber culo sis-survey and BCG-vaccination projects would require the help of
a specialized laboratory that would be in a position to answer problems not
investigated elsewhere. In 1956, by agreement between WHO and the D|nish
Government, the latter had assumed responsibility for TIRC. The Danish Government
continued to receive assistance from WHO most of which was used tñ meet the salaries
of internationally recruited scientists. TIRC was concerned mainly with research
on the antigenic composition of the tubercle bacillus, the problem of measuring the
response to BCG immunization, the relation between circulating antibodies and
allergy factors and other problems of that nature. The Centre was producing
purified tuberculin preparations which it was hoped would prove more specific than
those at present available. It was doing work that could serve as a nucleus for
possible expansion of research on the biology of the tubercle bacillus and the
immune response. The TRO carried out field studies on preparations from the
Centre. The Danish Tuberculosis Index carried out field surveys on populations
treated with BCG vaccinations and tested different types of vaccines in the field.
ЕВ23/АР/3 page 95
6. In reply to further questions the Director-General stated that the institutions
referred to under item 4.5.1 were conducting specific investigations on the
epidemiology of tuberculosis whereas those described under item were concerned
with biological standardization, hence their presentation under separate items of
the budget. The Tuberkulose Porschungsinstitut in Bor^tel, the Institut Pasteur in
Lille and the Tuberculosis Research Institute in Prague were investigating mycobacteria
collected from certain field projects supported by WHO so as to establish their
virulence and antigenic characteristics. The work referred to under item on
the other hand, was on the preparation of antigens and on the immunologioâl factors
and reactions.
4.4 Malaria Eradication (pages 27., 28 and 54)
Having noted the estimates under the Regular budget^ the Committee decided to
defer its consideration of them until it considered the operations planned to be
financed from the Malaria Eradication Special Account, as presented in Annex 4. Por
its comments see pages 147-153,
4.5 Communioable Diseases[ (pages 28-〉4 and 55-57)
The Committee noted the changes in the organizational structure affecting this
Division as described in the Introduction and previutisly discussed.
4.5Д Tubercid-Qsls (pages 28, 29 and 55)
1. The Committee noted that the number of posts provided for in the estimates for
the Tuberculosis Research Office showed a reduction of those compared with 1959»
In this connexion， a member enquired why the total estimates for the Office did not
show a ccmnensurate reduction. In reply, the Director-General stated that the
reduction due to the termination of the three posts was partly offset by salary-
increments for the remaining staff, Furthermore two of the posts were expected to
terminate at the end of the first quarter in 1959 with the result that provision
had been made for three months only in that year.
2. In reply to a question as to the need for a consultant for the evaluation of
new prototypes in mass chest X-ray equipment, the Director«General explained that
WHO was helping a number of countries to develop tuberculosis survey techniques#
Евгз/АР/з page 96
particularly in underdeveloped areas. For that purpose it was necessary to have
portable X-ray equipment, suitable for handling under adverse conditions. WHO was
in close contaot with manufacturers with a view to devising simplified equipment.
Such equipment was now being tried out but it was necessary to evaluate its
performance and it was proposed to engage a consultant for this purpose.
5* Recalling that it was proposed to establish a mechanical equipment unit at
Headquarters (In the Division of Health Statistics) a member of the Committee
enquired whether that unit would handle the data on tuberculosis field projects.
In reply, the Director-General stated that the TRO had a small mechanical unit for
statistical analysis of data on BCG vaccination whioh would continue to be needed as
long as the TRO functioned in Copenhagen• However, it was expected that the unit
at Headquarters, when functioning, could undertake some of t^e work of the unit in
the TRO, and the Director-General intended to investigate the extent tó which it
could be done.
4. In reply to a question as to the functions carried out by the TRO statisticians
the Director-General stated that these were mainly the compilation of statistics
received from WHO/lJNICEF BCG projects throughout the world. A monthly analysis
was prepared and circulated to the governments concerned and was used for purposes
of reviewing the progress of the work. Data received from the prevalence surveys
now being carried out in Africa were also analysed and the reports sent to the
regional offices and governments. In addition, the TRO studied the data assembled
from field activities in Denmark.
5. Noting that the number of posts for whioh provision had been made in i960 was
eighteen, whereas it had been expected that much of the work of the TRO would have
been transferred by then to the Government of Denmark, a member of the Coimnittee
indicated that a further reduction would »eem to be appropriate. After discussion
the Committee recalled that a comprehensive report on the TRO was due to be
submitted to the Board at its twenty-fifth session and decided that the matter be
left fer discussion until then.
EB23/AF/3 page 97
4,5^2 Venereal Diseases and Treponematoses (pages 29, )0 and 55)
In reply to a question as to the progress which was being made with the yaws
eradication campaign in Haiti^ the Director-General stated that it had already
reached the stage where eradication, was being approached; the incidence of the
disease had fallen below one per aent.
4.5.3 Veterinary Public Health (pages J>1 and 56)
1. The Committee noted that it was proposed to add in i960 to the existing staff
a public health veterinarian and a clerk stenographer to help with the additional
work of the unit in co-ordinating research on zoonoses and on fo^d hygiene,
2* Noting the small amounts provided for contractual technical services and other
forms of co-ordination of research members enquired as to the extent of work d':,ne
in stimulation of research and the practical value of such small payments. In
reply, the Director-General pointed out that payments were made to a number of
laboratories to carry out research on matters of interest to WHO. It was found
more economical to subsidize research already in progress with a view to making
available to the world the results achieved rather than to institute independent
research. The size of the grants made bore no relationship to the work accomplished
and in many instances the laboratories were not receiving a cash payment but only
certain supplies or small pieces of equipment necessary to carry cut specific items
of research. This method of operating has proved satisfactory tc the Organization
and an example of it are the results achieved by the Brucellosis Centres• The
work of these Centres was mostly cpncerned with the standard!zation fcy diagnostic
methods and the training of national staff in order to obtain comparability of
results on a world scale. They were also responsible for carrying out research on
particular aspects of brucellosis as recommended by the expert committee on that
disease. The system was effective in eliminating duplication of work and in co-
ordinating research throughout the world at the cost of a token financial support
by WHO.
EB23/AP/!5 page 98
Virus Diseases (pages ；51, 32 and 56)
The Committee noted that this function had previously been included amongst
those of endemo-epidemio diseases and that it was proposed to strengthen the staff
by the addition of one medical officer, one technical assistant and one clerk •
stenographer in i960. This increase Qf staff is in particular justified by the
work to be undertaken on smallpox eradication following the resolution of the 1
Eleventh World Health Assembly. This unit will also be dealing with work on the
virus and rickettsial diseases including trachoma ..and yellow fever, as well as
servicing the expert advisory panels concerned.
4.5.5 Endemo-Epldemlc Diseases (pages 33 and 56)
The Committee n3ted that it was proposed to add to the staff a chief medical
officer, a secretary and a clerk stenographer, and to continue making small amounts
available for contractual technical services in connexion with the work of
identification of snail vectors, on bilharziasis, onchocerciasis and filariasis
studies.
4.5*6 Leprosy (pages and 56)
The Committee noted the need for this function (established in 1958) to cover
the expansion of WHO 1s research activities and the increased number of pilot projects
in this field. No change vas proposed in the staffing pattern.
4.5.7 International Quarantine (pages 3牡 and 57)
The Committee noted that this function had been transferred from the
Division of Health Statistics to the Division of Communicable Diseases without any
change in the staffing pattern.
4.6 Public Health Services (pages and 57)
The Committee noted the organizational』changes, previously discussed>
as affectine this Division.
、：》. v-aw.-J%! 14 I" 1/41 . tr-* • "»». I X I^HA.11.5^, Off, Rec. Wld ¡filth Org. 87,
EB23/AP/!5 page 99
4.6.1 Public Health Administration (pages 35 and 57)
The Committee noted that it was propnsed to increase the staff by a clerk
. stenographer> and to convene an expert committee on the planning of public health
.services • - … . “
4.6.2 Organization of Medical Care (pages 35 and 57)
1. The Committee f s attention was drawn to the fact that the functions and
re epQ^sibi1itie s of this unit were described as:
"to advise on policies of hospital planning and organization, and of organization of medical oare services in general, including medical benefits under social Insurance".
The Chairman pointed out that it was laid down in Article 2 of the WHO Constitution
that the organization should merely "study and report" on administrative and
social techniques affecting public health and medical care from the preventive and
curative points of view, including hospital services and social security. At the
time the Article had been drafted, it had been agreed that WHO should not advise
on policy regarding such techniques• In reply, the Director-General referred to
the progress report on medical care in relation to public health; this was being
submitted in response to a request made at the twenty-first session of the Board®
The progranane to Which that report referred was being developed in accordance with
Article 2 of the Constitution. The words used in Official Records No, 89 under
paragraph 1 of the functions and responsibilities were meaivt to indicate that it
was proposed that advice should be given on the development of a programme
concerned with the organization of medical care and not that it should develop a
global policy regarding the organization of medical care»
2. Following further discussion on the subject, the Chairman expressed the
opinion that the words "to study and report on!1 should be substituted for the
words flto advise on policies of".
4 . H e a l t h Laboratory Services (pages 35, ！56 and 58)
The Committee noted that it was proposed to add to the staff a technical
assistant (scientist) to collect, analyse and disseminate material of importance
to the work.
EB23/AP/!5 page 100
4.6.4 Nursing. (pages 36 and 58)
The Committee noted ttiat no change in the staffing pattern was proposed.
к б 5 Health Education of the Public (pages 呢 37 and 58)
The Committee noted that no change in the staffing pattern was proposed.
4.6.6 Maternal and Child Health (pages 37 and 58)
The Committee noted that it was proposed to convene in i960 an Expert Committee
on Maternal and Child Health which would, amongst other things, review the definition
o f prematurity, since the definition adopted by the Expert Group in 1950 had proved
to be inadequate.
2. In reply to a member, the Director必eneral informed the Committee that WHO was
doing considerable work regarding perinatal care and in particular, it was helping
to develop these services in under-developed countries. Research connected with the
increased number of surviving handicapped infants was the matter of discussion with
the Regional Office for Europe.
4 7 Health Protection and Promotion (pages 37-奶，59 an ¿ 6 o )
The Committee noted the proposed establishment of this division as an integral
part of the changes in the organizational structure previously discussed.
4 7.1 Social and Occupational Health (pages , 38 and 59)
The Committee noted that the only change proposed for i960 was to relieve this
unit of the responsibility for certain items now inoluded under Organization of
Medical Care, Cardiovascular Diseases and Cancer.
4.7.2 Mental Health (pages 58 and. 59)
• , 1 • • • _ _ . _ , | , - 國 _ , _ • ••iTrm~i ’
1. The Committee noted that an expert committee on programme development in the
mental health field and an expert committee on the teaching of psychiatry and mental
health pronotion are proposed for i960. In the past, WHO丨s interest in psychiatry
has mainly^been confined to clinical psychiatry and it was now felt necessary to
develop psychiatry teaching programmes.
2. with regard to the latter expert committee the Chairman questioned whether it
would not be better to convene a study group on the subject. In reply, the
Director-General explained that it was planned that the expert committee should
EB23/AP/!5 page 101
consist of members specialized in the teaehing of psychiatry and that it should
analyse the methods being followed in such teaching and, after comparing the different
methods followed in various couniries, make reccmimendations regarding the organization
of curricula' of training in psychiatry, so as to include the preventive aspects.
4.7.3 Nutrition (pages 38, 39 and 59)
1. The Committee noted the proposal to provide another seoretaiy in I960 to help
with the increasing work. The Committee also noted that the staff responsible for
work on food additives had been transferred, from Health Laboratory Services.
2. Da reply to a question concerning the international aspects of the programme,
the Director-General stated that nutritional anaemias were a problem in many areas,
particularly in the less developed eountries. The causes of suoh anaemias had not
been fully investigated so that there was real scope to encourage and. support research
which could be carried out in such countries as India and Mauritius because of the
existence of properly equipped laboratories. One of the aims is to ascertain
whether nutritional anaemias possess the sane characteristics in all the under-
developed countries, and what were the variations, if any, due to specific local
conditions.
3. In reply to a member who felt that WHO was trying to cover far too wide a field,
the Director-General pointed out that nai^r of the activities now being undertaken,
had resulted from decisions of the Health AsaembJy? and nutrition in particular
had been allotted first priority by the First Health Assembly. However, he had
taken every precaution to avoid duplicating the work of FAO*
4.7.4 Dental Health (pages 39 and 60)
The Committee noted that epid^niology of periodontal diseases would be the
subject of an expert committee• It would be fruitful to review the material, at.
present in process of collection^ relating to this serious disease.
4.7.5 Cardiovascular Djgeaaes (pages 39 and 60)
The Committee noted that this «nit was created in 1958 and its functions are
to collect and disseminata svlefitifie information on cardiovascular diseaseSi to
EB23/AF/3 page 102
stimulate and co-ordinate research towards the development of control measures,
and to undertake epidemiological studies in this field. Two expert groups had
recommended, certain lines of investigation once infomation had been obtained on a
number of environmental and epidemiological factors.' Thèse datá were to be
examined by the proposed Expert Committee on Cardiovascular Di'seîses and Hypertension
to be convened in I960 with a view to establishing the influence of environmental
and occupational factors on the incidence of the disease arid perhaps to suggest a
control programme.
4.7.6 Cancer (pages 40 and 60)
A member enquired why no provision had been made for the Cancer and Cardio-
vascular Diseases units to have the support of consultative and scientific centres.
In reply, the Director-General explainecL that whilst "these units appeared email for
their responsibilities, it should be remembered'that any action had been postponed
for a considerable time, and. it was only as a consequence of the decision taken by
the Eleventh World Health Assembly that he had had to prepare plans for the
development and co-ordination of a programme of research. It was hoped that the
necessary expansion could be financed from the Special Account for Research Planning.
He hoped that assistance to international centres for histopathological reference
preparations could be extended, to other types of cancer and at a quicker pace than
would have been possible if he had had to rely entirely on funds available from the
Regular budget.
Д.8 Environmental Sanitation (pages 40-42^ 60 and 61〉
1. The Committee noted that the fields of work of this Division were now described
under separate headings and that the only proposed staffing phange was the proposed
additional secretary in the Rural Sanitation Unit.
1
2 . The Committee al |0 noted that_, in accordance with resolution WHAll,^? t h e
Eleventh World Health Assembly, the Director-General was required to report to the
Twelfth World Health Assenibly on thé work and achievements of the Organization in
assisting governments in the environmental sanitation field and to suggest furtiher
activities, as well as ways and means of financing ithem. • In response to a * » •
suggestion that a preliminary report on how the studïes"in tfië "field, of envirome'ntal
sanitation were being carried out, the Directoç-Gener^l indicated, that an oral • ‘ • " " . . . � . ’ Г.. . . . . * '’，•-..’••.. .... report would be made to the Board e
1 Off. Reo. Wld Hlth Org, 87, 28 «MB-VL . u л I I и» I I чщ — _
EB23/AF/J page 103
4.8.1 Urban Sanitation (pages 41 and 6l)
In reply to a question as to the scope of WHO'S activities in this field, the
Director-General informed the Committee that the Organization had concentrated on
evolving standards for water supplies and had published a list of guiding principles.
A series of meetings and conferences on the subject had been held particularly in
Europe and it had become apparent that in шагу urban areas water supply was
inadequate, both in quantity and quality, so that governments welcomed advice on
methods of organizing and. meeting supplies. The need for urban sanitation was
ev油 greater in under-developed countries. The Director-General also confirmed
that air pollution, which constituted a far greater problem in certain industrialized
cities, came within the scope of the Urban Sanitation Unit.
4.8.2 Rural Sanitation (pages 41 and 61)
Noting that WHO was collaborating with UNESCO in the work carried out on the
development of arid and humid zones, a member enquired whether such collaboration
centred on sanitation problems. In reply, the Direetor-General stated that WHO
was mainly interested in problems connected with the supply of water for human
consumption and in the general physiological effect of the arid environment on the
human organism. WHO1.s role had so far been purely advisoiy.
4.8.3 Vector Control and Pesticides (pages 41, 42 and 61)
The Committee noted that one of the main roles of this unit is to co-ordinate
research on vector control methods, and to support insecticides studies. It agreed
that the studies on insect resistance to insecticides deserved every support,
Д.8.4 Environmental Biology (pages 42 and 61)
1. In reply to a question, the Director-General stated that although the functions
of this unit might seem to overlap with the functions of the Vector Control and
Pesticides Unit, the responsibility of the former is broader inasmuch as it is called
upon to co-ordinote fundamental research.
2 # in reply to ч further question, the Direetor-General stated that this unit
was also required to deal with housing problems in collaboration with the United
Nations in its broad programmes.
EB23/AF/^
page 104
4,9 Ec-a.cc.tion and Ty.lnlnc： (pages Д2-44 and 62)
T h e Committee noted that the names of two of the units in this Division had
been changed to reflect more closely their fmictions,
4.9Д Fellcwshipg (pages 43 and 62)
1. The Committee noted that provision had been made for an expert committee to
recommend requirements for schools of public health in order to p r e p a r e detailed
standards of requirements for the schools as recommended by the expert committee
held in' 19:58, and а пэтйзег of the C o m b t e e stressed the importance of public health
administrators being strongly represented on the Expert Committee.
2, In reply to a question as to whether any two destitutions would agree on
"detailed standards of requirements" the Director-General stated that in recent
years the consensúas of opinion on curricula had grown and. a number of common
principles had Ъееп accepted. These detailed standards would be particularly
useful for new institutions and could be devised in such a form that they could Ъе
modified to suit local conditions, The Director-General agreed that the
requirements should Ъе defined Ъ7 public health administrators themselves.
/.9.2 Education in Ke^icine and Allied Subjeots (pages 43, ^ 62)
"• ‘‘ . .「-..- -- I « 1 " *"
The Ccmmittee noted that provision had been made to continue the grant to the
Council for Internaticnal Organizations of Medical Sciences in I960, A report on
this organisation had been preparsd by the Director-General as requested by the
Executive Board at its twenty-first session, (see Appendix Ю),
2 , Щ reply to a member who questioned the value of Ш0 continuing to support
CIOMS, whose utility hs did not doubt, but from which he did not see how the
Organization could derive any direct benefit, the Director^er.eral stated that the
work performed by this organization was of help to WHO in discharg^g certain
co-ordinating duties, СЮЖ wa 3 seeking to become fully self-supporting, but the
prospects for a c h i e v e this did r.ot seem very good at least ia the near future.
ЕВ23/АР/3 page 105
4.10 Editorial and Referenoe Services {pages 44-46, 63, 64, 68 and 69)
1. The Committee noted the new posts proposed for this Division - one editor,
two translators, and two clerk stenographers to be attached to the stenographic pool.
A complete organizational study on publications had been prepared by the Director-
General for the consideration of the Board. The Committee also noted with
satisfaction that a new catalogue of publications had appeared for 1959.
2. In reply to a point raised by a member, the Director-General pointed, out that
the estimated cost of publications amounting to $ 165 000 did not the
printing costs of the Official Records which are shown under Organizational Meetings
and the Technical Report Series, the oosts of which are distributed according to the
subjects He also pointed out that the increase of $ %2 000 for I96.O as compared with
I959 was due mainly to the increase in tiie number of pages of epidemiological
publications. •
4.11 Programme Co-ordination (pages 46 and 64)
The Committee noted that no change in the staffing was proposed for i960.
4.12 Programme Evaluation (pages ¥>, 47 and 65)
1. In reply to a question, the Director-General stated that the work on methodology
of evaluation involved thfe development of procedures and principles for the evaluation
of the Organization's projects. Activities in evaluation were still experimental as
it was difficult to establish methods whereby the exact value of programmes could be
assessed and to evaluate any improvement in the health situation of a country, A
system of questionnaires had been evolved for the purpose of Evaluating projects in
order to see if the propose of these projects had in fact been achieved. Reports
were regularly sent to Headquarters on the various projects.
2. In reply to a question as to the Qualifications required of the evaluation officer
—be. riroctor-Gonoratl stated that the medical officer in charge was usgentially special-
ized In public .healthjj '-.and he needed somo aasistanoy in the field of statistical
methodology. As would be r«oe3a.cîd, tho Sixth World Health Assembly had requested the
Executive Board
EB23/AF/3 page 106
to report to the Seventh World Health Assembly on a study of programme analysis
and evaluation. The latter, having considered the Boards report, requested It
to prepare a further report for the Eighth World Health Assembly who, in turn,
having noted the comments made by the Executive Board at its fifteenth session,
had requested the Director-General to continue the application of programme analysis
and evaluation to the work of the Organization. Evaluation was helpful to the
Director-General in respect of the final reports on projects. No ideal method of
evaluation had, as yet, been evolved where public health work was concerned, but the
methods used had given considerable results and provided him with scane guidance.
He stressed the fact that programme evaluation undertaken in the Organisation was
essentially for internal use and for the information of governments. The evaluation
reports were not intended for publication,
Д.13 Supply (pages 47 and 65)
The Committee noted that no increase in the staff for this office was proposed
for I960 although the volume of work was continuously increasing. In reply to a
point raised by the Chairman, the Director-General confirmed that it was the practice
for WHO to make a 3 per cent, service charge to governments for purchases made on
their behalf. However, a separate document was being submitted to the Executive
Board on this subject.
EB23/AP/!5 page 107
5. REGIONAL OFFICES (pages 70 and 71) •
Having noted the composite statement of functions and responsibilities of
Regional Offices and the summary of the estimates for all the Regional Offices, the
Committee decided to study the proposals for each of the Regional Offices together
with toe field programmes as presented in Annex 2 of Official Records No. 89.
6. EXPERT COMMITTEES (page 72)
X . Having considered ihe proposals for individual Expert Committees, at the same • ‘
time as it had studied the estimates for the Divisions concerned，the Cwnmittee • ! ‘
noted -Uiat the ziumber of Expert Committee Meetings proposed, for I960 was 24 at an
estimated total cost of ^ 218 920 conpared with 20 in 1959, costing 181 100； and
that the estimates for temporary staff required to service the E ^ e r t Comittee
Meetings proposed for I960, reflected an increase of ¿ 496O.
2, The Ccramittee also noted that the increase of ^
as detailed in the Summary of Budget Estimates (page
Travel and Subsistence of members (Code 25)
Other Contractual Services (Code 43)
Printing (Code 50)
Insurance (Code 62)
32 860 in other requirements^
7) related to:
25 020
3 360
4 ООО
4S0
32 860
7 . OTHER STATUTORI STAFF COSTS
(see under "9. Other Statutory Staff Costs")
EB25/AP/3 page 108
8 . ADMINISTRATIVE SERVICES (pages 73-83)
X, The Director-General furnished the Committee with statistical data concerning
the workload of the administrative staff (Appendix 11) and reminded the Committee
that the Executive Board had been informed for the past two years that the
Administrative staff were already overburdened with work, that a considerable amount
of overtime was being done and that there would have to be some increase in the staff
if the situation continued. The Administrative staff had increased by b-l/2 per
cent, for the period 1953-1958, While the increase in the workload, of the units
varied, the median increase in the same period amounted to about 65 per cent. The
Organization's resources had increased considerably over thoee yôars and that had
resulted in an increase in the workload. It was now clear that some increase in
Aictadni&traliVB staff was absolutely necessary,
2, In the course of its examination of the estimates for Administrative Services,
the Ccramittee noted that the net increase of 102 05Д resulted from the following
additional requirements for 1960 as compared with the corresponding 1959 «stimates:
f . . . .
Requirements for s ^ a r y increments relating to established posts 17 452
Provision far nine new posts 26 795
Additional requirements for temporary staff 10 700
Increased requirements for duty travel 11 300
Additional requiranents for Public Information supplies and materials 27 900
Provision for purchase of copies of film prints for resale (to be financed from the Publications Revolving Fund) 8 000
102 147
Less Decreased requirements for common services (93)
Net increase 102 054
EB23/AP/3 page 109
3 , With regard to the new posts proposed for I960, the Committee noted that the
organizational units and the posts concerned were as follows î
8.3.1 Administrative management (pages 73, 7靱 and 79)
One management officer P2
8.3.2 Personnel (pages 74 and 80)
Two clerk stenographers G3
8.3.3 Gomnmnications and Records (pages 7Д and. BO)
One clerk G3
One clerk stenographer G3
8,4*1 Budget (pages 75 and 81)
One clerk stenographer G3
8,4.2 Finance and Accounts (pages 75 and 81)
One accountant
8.5 Public Information (pages 75 and 81)
One secretary
8,7 Internal Audit (pages 76 and 82)
One auditor
PI
G4
P3
4 . The Committee noted that the net increase in the duty travel requirements
amounting to ^ 11 300 resulted from the following increases and decreases in the
proposed I960 estimates as compared with the corresponding estimates for 1959：
8.3 Д
.3.2
о 2
«
•
4 4
5 7
8
Administrative Management (pages 7 5, 7路 and 79)
Personnel (pages 74 and 80)
Budget and Finance: Office of the Director (pages 75 and 80)
Finance and Accounts (pages 75 and 81)
Public Information (pages 75, 76 and 8l)
Internal Audit (pages 76 and 82〉
External Relations (pages 76 and 82)
Liaison Office with United Nations (New York) (pages 77 and. 82)
6 600
(1 Л00)
200 100
200
U 700
200
700
Net increase II 300
EB23/AP/!5 page 110
5 # The decrease of $ 93 in the requirements for common services reflects the
apportionment to Appropriation Section 8 - Administrative Services 一 of the total
estimated common services costs at Headquarters.
6. The increase of § 27 900 in the requirements for public information supplies and
materials related to the production of the full six issues of the periodical "World
Health" in the improved format in English and French and make it possible to start
three issues in Russianj the production of an additional quantity of film materials
suitable for use in television programmes and the replacement of some items of photo
laboratory equipment.
7. The Committee also noted that provision had been included for the purchase of
copies of film prints for resale in an amount of | 8000 to be financed from the
Publications Revolving Fund, which was based on a recommendation of the Director-
General to expand the use of the Fund for such purposes.
8. in reply to a question as to the precise functions of the consultants for which
provision had been included in the estimates under item 8.5 - Public Information -
the Director-General stated that these were used mainly for the preparation of booklets
and other types of information material relating to special aspects of the Organization'£
work. For example, in 1958 a consultant had been engaged to write "Ten Steps Forward"
which dealt with the first ten years oí the Organization's existence. In 1959 several
consultants were being engaged to prepare a series of articles showing the importance
of the malaria eradication work being carried out in various parts oí the world.
Consultants were generally used on the basis of co-operation with newspapers and film
organizations or radio networks which usually paid their salaries, WHO being
responsible for per diem and travel costs.
9. The Committee was satisfied with the proposed estimates submitted by the
Director-General for Administrative Services.
COMMON SERVICES (pages 77 and 83)
The Committee noted that these estimates amounted to $ 38 018 more than the
corresponding 1959 estimates, the increase being necessary, based on experience,
to service the staff, Of this amount Ь 3000 resulted from an increase
EB23/AF/3 page 111
in the provision for hospitality to cover more adequately the actual requirements;
$ 10 2035 related to rental and contractual services including provision, for
additional office space outsiAe the Palais des Nations, and $ 5 821 was for rental
and maintenancé^of mechanical equipmènt required by the ¿ivision of Health Statistics.
The balance of $ 1§ 99杯 represents increased requirements forncooimunlTsatloibBervlces
and' supplies and^equipment based, on èxperleD,«e^r
•？ «
9. OTHER STATUTOHY STAFF COSTS (pages 77, 84 and 85)
1 # The Direot^r-General reminded the Committee that, as explained in paragrajii l.J.1.2
of the Notes on the Presentation of the Programme and Budget, two new appropriation
sections were proposed - one under Part II - Operating Programme and one under Part III -
Administrative Services, to cover 611 statutory staff costs other than salaries• Such
costs had in theipast been included in the estimates fcr the same appropriation
sections under whioh provision was made for the salary oosts of the staff members
concerned• As explained on page 77 they related to repatriation grants and service
benefits, pension fund and staff insurance, representation allowance (Appropriation
Section 9 only), the costs of travel on recruitment, on repatriation, and on h^tne
leave, the reimbursement of income tax, and other allowances. ,
2. In reply to a question as to the reason for the grouping of such costs under the
proposed new Appropriation Sections, he stated that, apart from the fact that the
change was in keeping with the practice followed by other international organizations,
it was considered useful to show separately the total costs for staff members whose
salary costs were provided for within the appropriation sections under whioh their
employment was authorized and fthat it would tend to facilitate the examination of the
estimates•
3. In the course of its sturdy of these estimates, the Committee noted that the net
increase in the requirements /or "Other Statutory Staff Costs” under Appropriation
Section 7 amounted to $ 575 474 as follows :
ББ23/АР/5 page 112
Programme Activities Regional Offices Headquarters Field Regional Offices Total
$ $ $ $ Repatriation grants 鋒 》 (ЗГ0) • • (3舻)
Pension fund 4 727 1 592 4 233 lf 352
Staff insurance 18 294 23 4^2 10 569 52 265
Other allowances 28 22 428 林613 55 075
Travel on initial recruitment and repatriation 18 050 (1斗 2林8) (1 592) 2 21Л
Travel on home leave 41 927 184 677 35 252 261 856
Travel on temporary staff - (9 591) • (9 391)
Transportation of personal effects 8 920 (1 -274) (209) 7 437
Reimbursement of inc#rae tax - (坏 779) 749 (^•30)
119 952 2в1 907 53 615 375 W
if. in the case of Appropriation Section 9 the Committee found that the net increase
amounting to $ 835 resulted from the follewing differences in the total require-
ments for i960 compared witdi 1959:
Repatriation grant 5
$
eoo
Pension fund Q 257
St?ff insurance 7 547
6ther allowances 4 «48
Travel *n recruitment and repatriation 15 700
Travel on home leave (7 760)
Travel of temporary staff (2 20Г)
Transportation of perspnal effects 9 7V Reimbursement of income tax 5帖
Net increase 34 836
EB23/AP/3 page 11)
ANNEX g
SüimRIES AND DETAILED EbTIMâïSS OF EXïSKDITURE FOR REOIO 風L ACTIVITIES (pages 89-314)
1. When it examined these summaries and detailed estimates of expenditure, the
Conmittee had before it the minutes of the meetings of the respective regional
committees, held in 1958, and was thus able to satisfy itself that the proposed
programmes had been carefully examined by each of the regional comxnittees in
accordance with the procedures established by them, and had thereafter been
reconmended for inclusion in the Director-General's proposed programme and budget
estimates for I960.
2, As indicated in paragraph 10.9 of Chapter II of this report, the Committee also
had before it a schedule (Appendix 2) showing the number of posts and estimated net
expenditure in 1958, 1959 and I960 under the Regular budget, the Expanded Programme
of Technical Assistance (Category I), the Malaria Eradication Special Account, and
Other Extra-budgetary Funds, by regions, for regional office and field activities.
The Committee further noted that the total amounts shown for I960 in the schedule
represented the amounts required to meet the costs of the integrated international
health programmes planned for that year and should be regarded as tentative since the
implementation of those programmes as planned was dependent not only upon ацу decisions
of the Twelfth ¥orld Health Assembly affecting the proposed programme under ths Regular
budget but also: •
(a) the target planning figures finally established by the Technical Assistance
Board for the 1960 Expanded Programme of Technical Assistance, any modifications
in the programmes that may be requested by recipient governments following
farther negotiations with all participating organizations during the first
part of 1959, within the target planning figures as finally established for
I960, as well as the total funds to be contributed voluntarily by governments
for the Expaixied Programme
(b) the amount of funds becoming available in the form of voluntary
COntrilMitions to the Malaria Eradication Special Account ；
EB2J/AP/3 page l l4
(с) the amounts actually made available from other sources to meet
the requirements as shown in the column headed "Other Extra-budgetary
Funds".
3 . ¡iS a result of its analysis of the increases and défereasss in the proposed
estimates for the regional offices under the proposed naw Appropriation Section i
of the Regular budget, the Committee found that, as shown in Appendix 6, the net
increase of % 40 202 resulted from the following differences：
Requirements for salary increments relatif to established posts
Estimated costs of three new posts proposed
Increased provision for duty travel
Lessi Decrease in estimates relating to：
Temporary staff
Other requirements
Net increase
34 806
5 700 2 320
42 826
(500)
(2 124)
40 202
4 . The Committee also noted that:
(a) the three new posts proposed for i960 were those of a public informtion
a s s i s t a n t and a clerk for the Regional Office for Africa (pages 93 and X04),
and a clerk-stenographer for the Regional Office for the Eastern Mediterranean
(pages 2Д1 and 256);
(b) the net increase of $ 2 320 in.the requirements fdr duty travel was
reflected in the estimates for the Regional Office for Africa (pages 93 and 104)
the ^ericas (pages 124 and 141), the Eastern Mediterranean (pages 241 and
256), and the Western Pacific (pages 276 and 290)j
EB25/AP/5 page 115
(c) ths decrease of $ 500 in the re-uii-ements for temporary staff was
reflected in the estimates for the Regional Office for the western
Pacific (pages 276 and 290), and
(d) the net decrease of | 2 314 in the estimates for "other requirements"
results frati various other increases and decreases in the estimates for
individual regional offices.
5 , With regard to the estimates, included under Appropriation Section 4 - Programme
Activities - for regional advisersл ад-еа reiDresentatives and similar personnel, the
Committee found that, as shown in Appendix в, the net increase of ^ 55 896 resulted
from the following differences:
$
Requir3msnts for salary increments 41 910
Provision for two new posts 7 329
Provision for short-term consultants 7 800
Increased requirements for duty travel 7 630
6Д 669
Lass: decreased requirements for conraon services (8 773)
Net increase 55 896
6 . The Committee frirther noted that:
(a) the two new posts proposed for i960 were those of a .regional health
officer in ’statistics and 9. clerk-stenographer in the European Region
(pages 207 and 22Д)
(b) the provision of $ 7 800 for short-tern consultants included in the
estimates for the Western Pacific Region was proposed in order to maet the
need for an gdviser on nutrition on a short-term basis (pages 276 and 292);
(c) the increased requirements for duty travel totalling ：.：> 7 630 were
reflected in the estimates for regional advisers in the amounts of i 250
for Africa (pages 93 and 106), # 380 for the 聰 r i c a s (i〕ag3S 124 and 147),
妨 4 000 for Europe (pages 207 and 224) and # 3 000 for the ..astern
Mediterranean (pages 2Д1 and 258)； and
EB25/AP/5 page 11б
(d) ths common services costs apportionable to this appropriation
Section showed a net decrease of 8773 resulting from ths following
increases and decreases :
Africa
Americas
South-Easi-
lâuropv.
3asx.ern Mediterransan
Western Pacific
Decrease
,.'.1?
5 363
944
3 345
1 077
Increase л
206
X 750
Total 10 729 1 956
7 . ííJhen examining the astimates relating to field activities other than regional
advisers and similar personœl, the Committe had before it Appendix 7 showing the
estimated costs in 1953， 1959 and I960 of all continuing projects, projects composed
of fellowships only, and new projects for which provision has been included in the
estimates for the Regular budget as contained in Official Records No. 89.
8 . The following summary of the data shown in Appendix 7 indicates tho total numbers
and estimated net costs of the above-mentioned categories of projects for which
provision is included in the proposed estimates for I960 as compared with those
approved for 1959. The difference between the net increase of | 490 472 shcfwn in
thle summary and the increase of % 387 375 shown in Appendix 6 relates to the statutory
staff costs, other than salaries, of project staff.
EB23/AP/!5 page 117
ТАВЬЗ 19
Number of Projects Estimated Net Costs
>
1959 1960 Increase (Decrease) 1959
!
1960 Increase (Daerease)
$ а-к)
Continuing projects 193 220* 27 3 570 429 4 181 994 611 565
Projects composed of fsllowships only
New projects
96
99"
.100
69
4
m
611 000
1 013 824*
708 300
795 431
97 300
(218 393)
Total 388 389 1 5 195 253 5 685 725 490 472 .....
* Contingancy provision of 4> 42 ООО included in the estimates for Europe for 1959 and I960 to meet requests for advisory services which may be received from Members in Sirope who/ at ths time when these estimates were prepared, had not returned to active participation in the work of the Organization, treated as three projects at an average cost of ‘:> 14 000 each.
9 , As shown in the above summary table the estimated costs in I 9 6 0 of continuing
projects reflect an increase of 迻 611 565 or 17.13 per cent, over the corresponding
estimates for 1959 and those relating to projects composed of fellowships only,
reflect an increase of ^ 97 300 от 15,92 per cent, over the corresponding estimates
for 1959, On the other hand, the estimates for new projects in 1960 show a decrease
of ф 218 393 or 21.54 per cent.
..'10. In the following summary table are shown the estimated costs of all projects
completed in 1958 and of those planned to be completed in 1959 in the respective
regions (including Intar-regional and Other Activities), The summary table also
reflects the estimted costs of the new projects as distinct from the continuing
projects in each year. However^ it does not take account of the additional
requirements for 1959 for increased pensionable remuneration, post adjustment
reclassification and suspension of minus post adjustments,
EB23/AF/5 page 118
TABLE 20
1958 1959
Continuing from 1957
New in 1958 Total
Continuing from 1958
New in 1959
w-. Total
$ $ $ $ $ $
Africa 11 800 51 0斗0 62 840 45 083 86 7^7 131 830
Americas 17 886 23 723 41 609 21 600 31 800 53 4oo
South-East Asia 98 890 99 640 198 5)0 49 291 16 800 66 091
Europe 97 870 166 590 264 460 28 610 181 155 209 765
Eastern Mediterranean 122 600 14 190 156 790 IO6 809 30 100 136 909
Western Pacific 22 9^0 2 800 25 7斗0 945 89 485 125 430
IROA - 114 200 114 200 13 000 47 000 60 000
Total 371 986 j 472 185 844 169 298 338 j 485 087 781 425
11. in studying the estimates for projects as presented in detailed estimates
contained in Annex 2, the Committee took account of the amounts included under the
Regular budget and the Expanded Programme of Technical Assistance for fellowships
in each region for 1958, 1959 and i960, as shoxm in Appendix 12.
EB23/AP/!5 page 119
AERICA (pages 93-123)
1. In examining the estimates for this Region, the Committee found that the
total cost estimates under the Regular budget (including those provided for
under Appropriation Section 7 - Other Statutory Staff Costs) for the Regional
Office and Field Activities amounted to $ 1 322 795 for i960 compared with
$ 1 159 杯19 for 1959, as follows t
Regional Office
ileld Activities
1959 $
J>2J> 586
8)5 835
i960 $
189
984 боб
Increase $
14 605
148 775
1 159 419 1 522 795 165 576
2. The Committee also noted that, based on the estimated expenditure shown
in Appendix 2, some $ 5 400 000 would be needed in i960 to finance the
international health programme as planned under all sources of funds, compared
with approximately $ 4 900 000 for 1959.
5, Introducing the proposed programme and budget estimates for the Region, the
Regional Director, referring to the estimates for the Regional Uffice under the
Regular Budget, pointed out that, although the work was increasing in volume and
importance, only two new posts were proposed for i960. Because of the increased
work in public information, It had been found necessary to include provision
in the proposed i960 estimates for an information assistant and a clerk.
4. With regard to field activities, the Regional director drew the attention
of the Committee to the fact that the number of posts for which provision had
been included in the proposed Regular budget estimates for i960 was 68 as
compared with 59 for 1959j and the total number of posts required for planned
projects under all funds for i960 was 202 as against 155 for 1959 (page 103).
The proposed progra咖e for i960 represented the outcome of a series of requests
by governments for assistance, such as (l) consultations between the technical
staff of the Regional Office and the appropriate national health authorities;
EB23/AP/!5 page 120
(2) discussions within the Regional Office； D ) discussions with representatives
of governments during meetings of the Regional Committee, and (4) review by the
Regional Committee itself. Governments in the Region were becoming increasingly
interested in the programmes carried out with WHO assistance in collaboration
with other United Nations agencies such as UNICEF, PAO, CCTA, ICA, the
International Children's Centre and others. The education and training
activities as well as other basic health services were of special interest to
the governments,
5. with regard to malaria, the Regional Director stated that, although in
some areas of the Region it had proved impossible to interrupt transmission by
using insecticides alone, it had been found in certain forest areas in the
centre and south of the Cameroons that such an interruption of transmission was
possible because the insect vectors could live only in human dwellings. In
other areas it had been necessary to use antimalarial drugs in combination with
insecticides and there were now 26 pilot projects on the use of suitable drugs.
Outlining the progress made in the development of plans for malaria eradication,
the Regional Director stated, inter alia, that it should soon be possible to
start large-scale operations in West Africa. Eradication projects are going to
start in i 9 6 0 in the south-east part of Africa.
6. As. regards yaws, the Regional Director stated that an intensive campaign
against the disease was being waged wherever it existed in the Region. A total
of 16 604 000 persons had been examined and 8 464 000 given treatment.
7 . Referring to other activities, the Regional Director stated that work in
the field of bilharziasis was not as far advanced as might be hoped. It was
necessary to carry out research on the epidemiology of the disease, the biology
and ecology of the snail hosts, and the effect of the molluscicides used against
them. Onchocerciasis was also vory rife in parts of the Region and was the main
cause of the eye diseases from which between 10 and 15 per cent, of the populations
in certain areas suffered. More than two million people in the Region suffered
from leprosy and roughly half that number were now receiving treatment. He
hoped that even more would be done for these people after the African Leprosy
EB23/AF/3 page 121
Conference, planned to be held in 1959. In the field of nutrition, much work
„as being done, mainly in co-operation with PAO. Assistance was also being
provided in environmental sanitation, health education of the public丨 and
maternal and child health.
8. The Regional Director also drew the attention of the Committee to the
inter-country programmes where continued provision was made for the ТВ
survey teams. Provision was included for a tuberculosis seminar, an
onchocerciasis conference, a veterinary public health seminar, and a third
African aalaria conference.
9 . in reply to a question, the Regional Director stated that there were various
zoonoses in the Region. One of the most important ones was trypanosomiasis
which was a true zoonoses in some areas. The problem was planned to be
discussed at the veterinary public health seminar proposed for I960. Other
zoonoses were brucellosis, rabies, leptospirosis, tick fever and dermatophytosis.
Live vacclrvs is boing used against brucellosis.
10. In reply to a question concerning the work of the tuberculosis survey
teams, the Regional Director informed the Committee that the teams examined
groups chosen at random, each consisting of 600 persons. In those areas where
bad communications made it impossible to use X-rays, the survey operations were
limited to tuberculin-testing and the collection of sputum. In the past the
data collected had been sent to TRO to be analysed but in the future it was to
be analysed at a centre now being established in the Region. The team
operating in the west of the Region had examined 27 565 People up to August 1958
while the team operating in the east of the Region had examined 17 648 people.
11. In reply to a further question, the Regional Director stated that the
proposed chemotherapy pilot project in Ibadan would study the epidemiology and
prevalence of tuberculosis in the area, investigate suitable methods for
domiciliary treatment uy drugs, and train auxiliary health personnel, with a
view to applying the findings to the tuberculosis control programme of the
country as a whole.
ЕВ2Д/АР/3 page 122
12. In reply to questions concerning the éducation and training activities
carried out in the Ibgion, the Committee was informed that the programme proposed
under this heading included a number of fellowships and seminars. However,
provisions for further fellowships were included as components of many of the
projects proposed under the major subject headings. It was also explained that
undergraduate fellowships were granted by WHO only to candidates from countries
in which there were no medical schools,
15. In the course of its consideration of the detailed estimates for the
Region, the Committee was informed that the decrease in the estimates for Angola,
Cape Verde and Mozambique was due to the fact that requests from the competent
authorities had been received too late for inclusion in the proposed programme.
As a result, these requests had, with the exception of one fellowship, been
included in the list of additional projects. The Corranittee also noted that
the majority of fellowships granted were related to the development of public
health services and only a few outside that field proper were included in the
estimates for this Region.
14. In reply to a question, the Regional Director stated that the Increased
estimates for Nigeria were primarily related to progranaaes in malaria,
tuberculosis and education and training,
15. Noting that provision had been included amongst the inter—country programmes
for a conference on primary cancer in Africans, a member of the Committee
inquired as to the incidence of the disease in the B-gion, In reply, the
Regional Director stated that the primary cancer of the liver was an important
health problem throughout Africa where the incidence of that particular cancer
was highest. The proposed conferonoe was desigr^sd Ьл bring together the
scientists from the three main institutes conosr-ncd in oancer research to
exchange information and discuss possible futuro action.
EB23/AP/!5 page 905
邏 R I C A S (pages 12厶-172)
1, Arising out of its analysis of the estimates for this Region, the Corandttee
found that the total cost estimates under the Regular budget taking into account
those provided for under Appropriation Section 7 - Other Statutory Staff Costs -
amounted to | 1 784 591 for I960 compared with $ 1 676 182 for 1959， as follows:
1959 I960 Increase
Regional Office 539 405 566 631 27 226
A Field Activities 1 136 777 1 217 960 SL 183
1 676 182 1 784 591 108 Д09
2. The Committee also noted, as shown in Appendix 2, that the estimated costs
of the tentatively proposed Category I projects under the ibcpanded Programme
of Technical Assistance amounted to $ 1 083 489 for I960 compared with
I 982 986 for 1959s that the estimates for the Regional Office under the Malaria
Eradication Special Account included provision for one post - a supply services
officer to help with the procurement ?,f supplies and equipment for projects
financed from the Special Account5 and that the total funds available or expected
to be available from other аз urces (including РАНО Regular Budget and the Special
M a l a r F u n d of the РАНО) for internationally assisted health projects exceeded
$ 11 million.
3. in introducing the proposed I960 prcgrsuraae and budget estimates for this
Region the Deputy Regional Directrr emphasized that the regional programme
constituted an integrated whole irrespective of the source of funds for the
different projects of •vihich it was composed. The amounts shown in the cost
schedules under Other Extra-Budgetary Funds included the regular budget of the
Pan American Health Orgaiization (РАНО), the РАНО Special Malaria Fund, ether
funds for specific purposes and the potential contributions of UNICEF for
international health activities. The estimates were tentative, the final ancwnte
being subject to negotiation or the approval of the governing bodies concerned.
The proposed programme and budget estimates had been drawn up two years in advance多
Евгз/л^'з 12/
starting in late 1957 with consultation with goverments and might therefore be
subject to revisions to meet the changing needs of 1iie countries or even the wishes
of the respective health authorities. As nnw presented, the proposed field
programme, comprised a total of 252 projects of which $3 were proposed under the
WHO Regúl.ar b.viget, 48 under Technical Assistance funds, 107 under РАНО Regular
budget,, Д under the РАНО Special Malaria Fund and 3 under other funds. Malaria
eradication was the single activity to which the highest priority had been given,
and this programme was expected to reach its highest level in I960. Other
important field activities included:
⑴
(2)
(3)
U)
(5)
eradication programmes in the fields of yaws, smallpcoc and Aè'des aegypti
projects for campaigns in specific comrmmicáble diseases such as leprosy, rabies and other zoonoses；
assistance in the development of integrated health services；
advisory servicee to governments in regard to activities supporting or complementing the basic services such as veterinary public health, health statistics, health education；
specific projects for education and training.
4. Special efforts were being made in the field of education and training, with
particular emphasis being laid on training in environmental sanitation, statistics
and nursing, in addition to the regular training activities in public health.
Nursing education was to receive greater attention in I960, and of the total »f
11 projects proposed under the WHO Regular budget, seven were on a country basis
and four on an inter-country basis. Provision was made for an additional five
projects under the РАНО Regular budget. Work on the strengthening of medical
schorls in the Region was also expanding. As an example of the effort made, the
estimates for I960 under the Tfflc Regular and Technical Assistance funds included
some $ 330 000.
5. In reply to a question, the Deputy Regional JDirector explained that the amount
shown in the summary of field activities under Other Extra-budgetary Funds (page 140》
could be broken down approximately as follows : BUHO Regular budget $ 4.1 million； • ； •
РАНО Special Malaria Fund $ З.Д million； РАНО other sources $ 0.7 million and the
remainder was expected to be made available by UNICEF. However, as previously
explained (paragraph 3 above) the amounts were tentative.
EB23/AF/5 page 125
6. In response to a request for further information regarding the various souroee
just mentioned by him, the Deputy Regional Director explained that the three first
mentioned funds were administered by the РАНО. The Member Governments made
contributions to the Regular budget of РАНО in accordance with an annual scale.
The Special Malaria Fund was established in 195斗 and was dependent upon voluntary
contributions. The other sources of financing РАНО activities included funds
from the Technical Co-operation Programme of the Organization of American States；
the quotas of governments members of the Nutrition Institute of Central America
and Panama (INCAP)； and grants from a few other sources. UNICEF assisted by
providing supplies and equipment for jointly-assisted projects, particularly
malaria eradication projects.
7. In reply to a question regarding the functions and responsibilities of the zone
offices, the Deputy Regional Director stated that they were responsible for liaison
wfch the national public health authorities in their respective areas, the
supervision of projects in operation and the provision of continuous technical
advice to governments. The system had first been Instituted in 1952 with a view
to decentralization. The Committee noted that less than 10 per cent, of the total
costs of zone offices for i960 would be chargeable to WHO, the remaining 90 per cent
(shown under Other Extra-budgetary Funds) was therefore being met by governments
of the region through their contributions to РАНО.
8. A Member asked why no grades were shown for local staff in the Caracas zone
office. In the reply the Committee was Informed that the local staff members
were being paid at.provisional rates pending the establishment of special local
salary scales (in local currencies). These were established after careful survey
and in line with the best prevailing rates of pay in the area concerned.
9 . During its consideration of the detailed estimates, the Deputy Regional
Director Informed the Committee that the Increase of some $ 000 for projects
in -Argentina resulted mainly from the inclusion of provision for increased
assistance to the National Institute of Microbiology, formerly the Malbran Institute
It was also to be noted that the Argentinian authorities were extremely interested
in improving the School of Health in Santa Fe for which they had requested
collaboration from the Organization.
10. Concerning the programme for Bolivia, he called the attention to the project
for integrated health services which were aimed at th$ improvement of pubiic bealth
page 12б
services generally• With regard to Brazil he mentioned that the project for national
food and drug services was expected to end by late i960 when the national authorities
might be expected to assume full responsibility for this activity# In the case of
Colombia he called particular attention to the projects concerned with leprosy
control, health services and Aedes aegypti eradication. The leprosy project was
particularly noteworthy as leprosy constituted one of the major problems of the
Region• .
11. In reply to a question concerning the distribution of funds for projects,
the Deputy Regional Director stated that every effort was made to distribute the
available individual resources satisfactorily between the oountries of the Region#
That was not always possible because of several factors - there were some countries
in which no specific projects under the WHO Regular budget were shown• In this
connexion he reminded the Committee of his earlier statement to the effect that
the activities of the Region should be considered as an integrated whole, not
only in regard to a particular source of funds.
12. In response to a request for information regarding treponematoses, especially
pinta, the Deputy Regional Director stated that syphilis, yaws and pinta were to
be found in the Region. Pinta occurred in Mexico, in Central America generally#
some countries of South America, ^ in the Caribbean. Yaws was prevalent in
the tropical areas# The Organization had been co-operating with some governments
in eradication programmes, among them the one carried out by the Qovernment of Haiti»
It started in 1950, using penicillin on a house-to-house basis. There was a mass*
treatment of the population which lasted until about 1955. The disease has
practically disappeared, as shown by repeated prevalence surveys. Since 1955$
the country had been under surveillance and it was believed that by i960 the
country would be able to declare yaws completely eradicated» He also made
reference to the yaws eradication programmes being carried out in several islands
of the Caribbean, which had covered so far about half a million population and
are conducted along the same general procedures as those of the programme in Hftltl#
EB2VAP/3 page 127
commenting on a point raised in connexion with live polio virus studies, the
Deputy Regional Director stated that the РАНО was collaborating with some governraenti
on the application of the oral vaccine prepared with some of the attenuated live
polio virus developed in the Americas. Programmes had been started In Colombia
and Nicaragua in 1 9 5 8 . There had been no reports of a c c i d e n t s or cases of
poliomyelitis following the great number of vaccinations carried out.
EB23/AP/!5 page 128
SOUTH-EAST ASIA (pages 173-206)
1, Arising out of its analysis of the estimates for this Region, the Committee
found that the total cost estimates under the leguiar Budget (taking into account
those provided for under Appropriation Section 7
amounted to $ 1 597 507 for I960 compared with $
1959
$ Regional Office 300 521
Field Activities 1 204 066
1 504 587
-Other Statutory Staff Costs)
1 504 587 for 1959, as follows:
I960 Increase
？ $
321 354 20 833
1 276 153 72 087
1 597 507 92 920
2 . The Conmittee also noted that, based on the estimated expenditure shown in
Appendix 2, some ? 9 350 000 would be needed in I960 to finance the international
health programme as planned under all sources of funds, compared with approximately
$ 8 316 000 for I959.
3« In introducing the estimates for the Regional Office and field activities for
South-East Asia, the Regional Director stated that no change in the structure of
the Regional Office was proposed for the year under review.
4 . Comparing the position with 1959 in respect of the f i e l d activities, the
Regional Director said, that the estimates under the Regular budget for I960 exceeded
those of 1959 by approximately 窬 63 ООО - a relatively small increase considering
the total population of the countries in the Region. Under the Technical Assistance
fünds, the estimates showed an increase of approximately $ 167 000. He further
mentioned that it was the amounts shown under the Other Extra-budgetary Funds which
contributed most to the financing of the field activities. These funds mainly
represent the supplies and equipment provided, or expected to be provided by UNICEF
for jointly-assisted UNICEF/VïïO projects. ïhe increase in the estimates related
mainly to tuberculosis, leprosy, trachoma, yaws and rural health and community •
development programmes. There was little charge in the maternal and child health
activities which were gradually being integrated in the general public health work.
The estimates for the inter-country programmes, however, show a considerable decrease
EB25/AF/3 page 129
compared with those for the two preceding years} these programmes have had to be
limited to ensure that the country projects would not suffer. The overall combined
increase in the field staff under the various funds was a little over 100 compared
with 1958. In accordance with the established practice, the proposed programme
and budget estimates had been very carefully scrutinized by the Kegional Committee
and the amendments recomiiiended were reflected i:u the estimates.
5, Referring to the provisions in the estimates for area representatives, the
Regional Director drew the attention of the Committee to the fact that somewhat
similar provision had been made for a public health adviser in Afghanistan as well
as in Nepal for a general survey of the health conditions, etc» and to furnish such
information to the Regional Office as would assist the latter in formulating suit-
able programmes for these countries.
6, in reply to a point raised by the Committee on the project for vaccine pro-
duction, Kabul, the Regional Director said that the Organization had been requested
by the Afghanistan authorities not to terminate WÎ0 participation in the project
for another two years or so. According to the original plans the participation
might have been discontinued at the present stage but xmfertunately, the personnel
which had been trained bad been sent elsewhere, so that the alternative to con-
tinuing the project vas its completo abandonment«
7 , With regard to the increased requireiuents for Burma, the Regional Director
stated tnat the increaee shown could Ъе attributed to activities relating to mental
health and health education, . -. • #
8• Referring to the proposals for Ceylon, the Regional Director drew attention
particularly to the provision of some $ 22 000 under maternal and child health to
provide for tha inç»roveme.nt of paediatric teaching and services.
9. With regard to the estimates for India, the Regional Director pointed out that
these showed a small increase mainly in connexion with education and training•
He drew attention particularly to the course on radiation protection. Answering
a question on the control and training centre (chemotherapy) in Madras, he recalled
that the centre was a point activity in collaboration with the British Medical
Research Council and the Indian Council of Medical Research at which efforts were
EB23/AP/!5 page 130
being made to ascertain whether it was possible to control tiiberculosis by ambulatory
treatment without isolating patients• Ths first report is expected within a month
and he hoped that prcsnising res\ilts would be forthcoming. The problem ef tuber-
culosis in India was ver;;', formidable. There may be as many as two ano. a half million
cases of tuberculosis. A large-scale public health programme whereby rural health
centres were being established as an integral part of the comrnvmity development
programme had been inaugurated bj the government. The staff for those centres had
to be trained and it had been .considered useful to place a medical officer and a
public health nurse at the disposal of each State in India to advise on the
functioning of the centres and training of personnels
10. With regard to Indonesia, the Regional Director stated that, Out of the total
population of some 85 million in the Indonesian Republic, about 65 million lived in
yaws endemic areas. The yaws campaign started in 1950, had already covered 43
million, 28 million of whom had been examined, and four and a half million of these
given treatment. 工 t was hoped that in epite of soma handicaps the consolidation
phase could be reached by 1965, when only surveillance will ba necessary.
11* With regard to Thailand, the Regional Director drew the attention of the
Committee to the dental health project, which was intended to assist in the pre-
vention and public health aspects.
12» In response to a request for further information regarding the inter-country
project for smallpox control, the Regional Director explained that smallpox was
endemic in India. The incidence was st:.U very high although a well-tried oontrol
weapon existed and considerable efforts have been made by the government. It was
proposed in India to take a circumscribed, area snd work out an organizational petter"：
for smallpox control. Ihe main difficulty in India is organizational including
that of communications and the reaction of the population to routine vaccination.
Indeed, unless there was an epidemic, vaccination had to be carried out on a routine
basis from house to house rather than at health centres, and that reprsstnted an
Immense task when one considered the size of the population of India and the half
million villages »
EB23/AP/!5 page 131
EUROPE (pages 207-2Д0) ‘ - • • • _ _ . • • r ： . . . . '
1， In studying the estimates for this Region, the Committee found that, under the
Regular budget, the total estimated costs, including those covered under
Appropriation Section 7 - Other Statutory Staff Costs - amounted to $1
I960 compared with Щ. 371 752 for 1959, as follows :
1959 I960 ~ T " X
Regional Office 375 071 373 350
Field Activities 996 681 1 075 036
1 3 7 1 7 5 2 1 ЛЛ8 386
2. The Committee also noted that, based on the estimated expenditure
Appendix 2, some $3 700 000 would be needed in I960 to finance the international
health programme as planned under all sources of funds, compared with approximately
и ООО ООО for 1959.
3. Introducing the estimates， the Regional Director stated that 1958 had been the
first full year in which the Regional Office had operated on a decentralized basis.,
There had been a great improvenmt in the recruitmaat of professional and general,
services staff and most of the established posts had been filled by the end of 1958 »
4. To meet the specific needs of the Region, the programme proposed laid emphasis
on inter-country projects and a large fellowship prograimme. With regard to the
latter, the Eegional Director informed the Committee that, in 1958, fellowship awards
had risen to 505 as compared tó 427 in 1957 and 320 in 1956, In addition, the
Regional Office played an important part in the placing and administrative arrange-
ments concerning fellows from other regions, studying in Europe, many of whom will
study in more than one country or institution. During 1958, 265 such fellows had
come to Europe so that the rele of the Eegional Office in maintaining the active
co-operation of the receiving institutions was of the utmost importance.
Ш 386 for
Increase (Decrease)
(1 721)
78 355
76 634
} shown 1л
EB23/AP/!5 page 132
5. Calling the attention of the Committee to the estimates for the regional health
officers, the Regional Director stated that the two œgional l^ealth officers being
recruited in 1959 were intended to be placed at the disposal of requesting
governments for prolonged periods to assist in the development of health services
and to cc-ordinate health projects receiving assistance from UNICEF and other
sources. As requests had already been received from Morocco and Turkey they would
be stationed in Rabat and Ankara in the first instance and, irtien required, will be
available to assist neighbouring countries» With regard to inclusion in the
estimates for I960 of a new post of regional health officer in the field of health
statistics^ the Regional Director stated that this reflected the increasing
importance which governments of -йхе Region attributed to this field of activity»
6. Witii regard to the field projects proposed for I960，the Regional Director
stated that there existed in the Region a preference for approaching problems on an
inter-country basis• This did not necessarily mean that all the countries
participated. Projects such as the meetings on malaria and on trachoma, for
example, had been planned to meet the needs of groups of countries with similar or
closely related problems • Provision was also made for the follow up ef inter-
country activities on a national basis with the object of assisting individual
countries to draw advantages from recorranendations made ât such meetings. For these
reasons it was difficult to draw any clear-cut distihctions between country and
inter-country programmes. Nevertheless there was a trend towards coimtry
programmes rather than inter-country prograirraes» This was evidenced by the fact
that the ratio of country to inter-country programmes Зл 1956 was approximately 40^ :
60^j whereas, far I960,, the rati^ was 51-2多:48.移， The inter-country projects
proposed for I960 included seminars, conferences and other meetingsj . training
courses; participation in seminars and conferences of the Ifeiited Nations aid other
agencies； follow-up of inter-country .projects on a national basis; and assistance
in certain activities in which the Regional Committee had expressed particular
interest such as public health schools and training centres, post-basic nursing
education institutions, training in health education and child psychotherapy,
and training institutes for sanitary engineers • Such assistance was given mainly
in the form of consultants and fellowships•
EB23/AF/3 page
7, In rep]y to a question concerning the continuad provision under the Expanded
Programme of Technical Assistance for the Anaesthesiology Training Courses in
Denmark, the Regional Director explained that the Government of Denmark contributed
funds in Danish currency to the Expanded Programme for Educational and Training
Projects which had to be implemented in that country. If these funds were not
spent on such courses they were likeüy to be used for projects other than health.
Since 19Л9 a total of 88 persons from all parts of the world had attended the
courses.
8. m response to an enquiiy as to the purposes for which ínedical literatee
(included amongst the inter-country programmes) was required, the Regional
Director explained that the provision in the estimates w g S needed to meet the cost
of literature and teaching supplies for seminars and conferences.
9. With regard to the projects planned to be implerasnted u M e r the Expanded
Progranme of Technical Assistance, the Director-General confirmed that WHO did not
h a V e a s muoh control over EPTA funds as over the Regular b ^ g e t . The former was
a u bject to a different set of regulations established by the TAG and ECOSOC,
Although projects were subject to the technical approval of Ш0 } the governments
themselves decided VThat proportion of the total funds should be used in each field
of activity and therefore by each organisation.
10. In reply to a question as to whether Ш0 had approved the project for the care
o f premature infants in Austria, tha Director-General stated that in the case of
joint UNIGEFAÍHO projects >ffiO had to give technical approval but even then funds
for supplies and equipment might not necessarily be allocated by TNICEF. After
further discussion on this subject, the Chairman suggested that the functions of
the tJNICEF/WHO Joint Committee on Health Policy might usefully be reviewed by the
Executive Board.
EB23/AP/!5 page 134
EASTERN MEDITEIPIANBAN (pages 241-275)
1. Arising out of its analysis of the estimates for this RegioA, the Committee
found thAt the total cost estimates under th% Regular budget (taking into account
those provided for under Appropriation Section 7 • Other Statutory Staff Costs)
amounted to $ 1 744 0)2 for i960 compared with $ 1 64l 898 for 1959, as follows:
1959 I960 Increase
$ $ $ Regional Office 336 881 348 383 11 502
Fieia Activities 1 305 017 1 395 649 90 632
1 641 898 1 7^4 032 102
2. The Committee also note4 that, based on the estimated expenditure sho«n in
A p p e n d i x s o m e $ 6 T 0 0 0 0 0 would be needed in i960 to finance the international
health programme as planned under all sources of funds, compared with approximately
$ 5 500 000 for 1959.
In introducing the estimates for this Region, the Regional Director drew the
attention of the Committee to the fact that the only addition to the Regional Office
staff proposed for I960 was for a clerk stenographer to assist in dealing with the
increasing work relating to fellowships.
4. As regards field activities, the Regional Director said that the increase for
1 辦 0 eompared with 1959 related mainly to the cost of the extension of programes
cm communicable disease, nursing, education and training, public health administration
and environmental sanitation. The supplies and equipment for many of the projects
W e r e b e i n g applied by UNICEF. Increased provision had also teen made for inter-
G O U n t r y p r o g r a n i m e s ' Particularly in the fields of tuberculosis and smallpox. The
latter was ал important problem in the Region and the Regional Committee had
d l S 0 U S S e d t h l s s u b - J e c t i n s o m e detail and requested him to conduct a comprehensive
survey cf the irroblem, giving priority to the areas where the outbreaks were
frequent. As a result, it was proposed to send a team consisting of an epidemiologist
EB23/AP/3 page 135
and a laboratory expert to study the problem in all its aspects, including
legislative measures, vaccine production, pot»cy, distribution and storage and
also the tr&ining of vaccinators. The team would investigate specific short-
comings in each country in their control campaigns and advise the governments
oonoerned on the way to overcome them. It was proposed to hold a regional seminar
on smallpox in i960 at which the persons responsible for the control of the disease
in the various countries would be represented and the data resulting from the
eurveys would be used as a basis for discussion.
5, with regard to tuberculosis, the Regional Director stated that it was proposed
to continue the project in Tunisia in i960 and also the two tuberculosis survey teams,
one of which would be required to function in Pakistan alone.
6. With regard to bilharziasis, the Regional Director stated that negotiations
with the United Arab Republic were in progress with a view to continuing the control
project with an increasing research element in the Province of Egypt in I960. It
was further planned to continue supjiorting the UNESCO-sponsored Arab States
fundamental education centre in Sirs-El-Layan, and the Higher Institute of Nursing
in Alexandria.
f 4 Provision was also made for a feumber of inter-country meetings whose value had
been repeatedly emphasized by the Regional Committee, hence the plans for seminars
on nursing, smallpox, food hygiene, zoonoses control and 令 conference on medical
education.
8. The Regional Director also referred to the Public Health College and Training
Centre at Gondar, whioh was training health assistants, health visitors and sanitarians.
There were some problems in placing the qualified students, but some were now being
employed on malaria aradication and others in hospitals while awaiting health centres
to be built.
EB23/AF/3 page 1 6
9. Provision was made to assist education and training at all levels and a large
number of undergraduate fellowships will continue to be awarded to countries where
no basic medical education facilities existed. In reply to a question, the Regional
Director stated that about 95 per cent, of the undergraduate fellowships were for
medical education but a number was on the subject of dentistry, pharmacy, sanitary
engineering and nursing. In reply to further questions, the Regional Director
said that, in 1958, out of the first group of four, three fellows had completed
their sixth, i.e. final, year of medical training and two more at present spending
a year on a thesis would presumably return home thereafter; the Higher Institute
of Nursing at Alexandria accepted students who had completed secondary education
for a four-year course leading to degrees in basic nursing.
10. In response to a request for further information regarding the school health
(favus) project in Jordan, the Regional Director stated that it was a school health
project with special erapáiasis on favus which, frcsii the reports received, presented
problems. The success of a similar WHO-assisted project in the United Arab
Republic (Province of Syria) completed three years ago, had encouraged the
Government of Jordan to ask for the assistance of WHO.
11. In response to a further question, the Regional Director stated that the
mission of the consultant to advise on the medical use of radioisotopes had been
completed.
EB23/AP/!5 page 157
WESTERN PACIFIC (pages 276-309)
1. Arising out of its analysis of the estimates for this Region, the Committee
found that the total cost estimates under the Regular budget (taking into account
those provided for under Appropriation Section 7
amounted to $ 1 456 505 for I960 compared with $
1959 $
Regional Office Field Activities
407 566 915 362
• Other Statutory Staff Costs)
1 322 928 for 1959, as follows:
I960 $
418 069 1 038 4)6
Increase $
10 503 123 074
1 322 928 1 456 505 133 577
2. The Committee also noted that, based on the estimated expenditure shown in
Appendix 2, some $ 4 300 000 would be needed in i960 to finance the international
health programme as planned under all eources of funds, compared with approximately
$ 3 400 000 for I959.
3 . lîie proposed programme and budget estimates for the Region were introduced by
the Director of Health Services who explained that the only change in the staffing
patterns of the Regional Office, regional advisers and area representatives, proposed
for i960, was the addition of an adviser in nutrition. Provision for his services
was being made in the first instance in i960 on a six months' consultant basis but
it was hoped that a permanent post could soon be established to meet the needs of
the governments in the Region.
4. The Committee noted that, of the overall increase in the Regular budget proposed
for i960, 97 per cent, was allocated to field activities. It was further noted
that the proposed programme included 56 projects, of which 24 were country, seven
were inter-country projects and 25 consisted of fellowships only. Increased
provisions had been made in i960 for malaria (38 per cent.), public health
administration (18 per cent.), nursing (22 per cent.), social and occupational health
(35 per cent.), health education of the public (57 per cent.), nutrition (l4l per
cent.), and education and training (8l per cent.).
ЬЖ/АЕ/ J page 158
5. The Director of Health Services informed the Committee that the apparent
large increase in nutrition was due to the fact that work in this field had
previously been very limited and that the amount actually proposed was $ 19 500.
Further expansion of the work in nutrition might be expected in future.
6. The Committee noted the continued emphasis being placed on activities in
public health administration, education and training and environmental sanitation*
The decrease in the proposed budget for i960 in maternal and child-health
activities as compared ；vith 1959 was accounted for by the termination in 1959 of
an inter-country programme on maternity care.
7. The Committee was informed that the yaws inter-country programme was planned
to ccaitinue in I960. The yaws team was expected to give assistance to the
Governments r;f Fiji, Western Samoa, the British Solomon Islands Protectorate,
the Gilbert and Ellis Islands and the Condominium of New Hebrides, Tonga and
possibly French Polynesia. This tern, composed of a medical officer, a serologist
and a nurse administrator, are providing the leadership and assistance in the
inter-country programme project which had started in Fiji. Once the necessary
control services had been instituted, the team moved cn to another island and
continued this work cn the same lines. The work done in Fiji, as well as in
other territories, had been surveyed and resurveyed and the results were most
gratifying.
8. New inter-country programmes proposed included a seminar on tuberculosis,
requested by the Government of Australia, a seminar on vital and health statistics,
a seminar on occupational health and one on health-education training.
9. The Committee noted that, despite the proposed increase in the Regular budget,
it had been necessary to omit a number of requests for projects by Meraber
governments at an estimated total cost of some $ 715 000. It was further noted
that assistance to malaria eradication work was planned in nine countries. In
addition, there were two continuing inter-country programmes in malaria eradication
one relating to the experimental use of medicated salt and the other to the
assistance to the Antd^Malaria Co-ordination Board, in co-ordinating the programmes
in Burma, Cambodia, the Federation of Malaya, Laos, Thailand and Viet Nam. The
estimated cost of the field work in malaria eradication proposed for i960 was'some
62 per cent, higher than in the previous year.
EB23/AP/3 page 139
10. In reply to a question, the Director of Healtli Services outlined the
geographical areas of responsibility of the area representatives stationed in
Saigon, Singapore and Sydney. He added that it Was hoped that it would be
possible to add a fourth area representative in Taipeh in the near future to cover
activities in Taiwan, Japan, Korea and possibly the United States Trust Territories
in the Pacific. He explained that direct collaboration with the South Pacific
Commission was maintained through the Regional Office, with the day-to-day liaison
being handled through the area representative in Sydney.
11. The Cormnittee was informed that the increased estimates for Cambodia were
largely accounted for by the proposed new nursing education programme for whloh
five nurse educators and two fellowships were provided.
12. In reply to a questiOTi regarding the poliomyelitis оentres in the Region,
the Committee was informed that there are two such centres, one in Japan and the
other in Singapore. It was hoped eventually to establish a third centre. These
were government-financed institutions, with small financial aid from WHO and
assisted in initiating and planning surveys to determine the incidence of the
disease and assess the state of Immunity of populations.
EB25/AP/3 page ]Л0
INTER-REGIONAL AND OTHER ACTIVITIES (pages 310-314)..
1* In examining these estimates, the Committee found that the estimated total
costs of the activities planned to > e financed from the Regular budget, the Expanded
Pregrarame of Technical Assistance, the Malaria Eradication Special Account and Other
Extra-budgetary Funds, as shown in Appendix 2, amounted to $ 2 098 882 for i960 as
against $ 1 359 4)4 for 1959. Of this increase of $ 739 H 8 , the amount of
$ 604 827 related to the operations planned to be financed from the Malaria
Eradication Special Account; $ 82 333 to Category I projects included in the
tentatively proposed I960 Expanded Programme of Technical Assistance; and $ 1214 to
activities to be financed from "other Extra-budgetary Funds", the balance of
$ 51 O74 relating to proposed activities under the Regular budget.
2. In introducing the estimates for these activities, the Director-Oeneral called
the attention of the Committee to provisions included for the various new and
continuing activities such,as those in the fields of venereal diseases and
treponeraatoses, bilharziasis, leprosy, onchocerciasis, smallpox, mental health, and
the medical use of radio-isotopes, and explained their main objectives.
3 . With regard to the advisory team on treponematoses which was planned to start
in I959, the Director-General stated that it was required to make a precise estimate
of the incidence of treponematoses in different parts of the world, prior to
developing plans for world-wide yaws eradication. This team is also expected to
undertake investigations in areas of low prevalence of those diseases with a view to
ascertaining the best methods of dealing with such areas in an eradication campaign.
As regards the advisory team on bilharziasis, he stated that the object is to
investigate problems connected with the development of large programmes of land
utilization and water development in a number of under-developed countries with a
view to finding ways and means of reducing the snail population and of controlling
infected vectors through the use of molluscicides. The advisory team on leprosy
proposed f*r I960 (under the Expanded Programme of Technical Assistance) would be
required to draw up suitable programmes for leprosy control on the basis of pilot
projects now in operation in various parts of the world.
EB23/AP/3 page l4l
4. In reply to a question, the Director-General stated that the advisory teams
would operate In the first instance under headquarters control# pending the
development of satisfactory methods and techniques• As the work progressed they
would need %o operate under regional control. In reply to a supplementary question
as to the value of setting up advisory teams on an inter-regional basis, the
Director-Général explained that this method of work had been put into use for the
first time three years ago when advisory teams on malaria had been set up. Their
duty was to visit projects at each stage of development so that they would be able
to assist in assessing the progress of the work and to determine whether all
necessary measures were being carried out. The reports prepared by these teams
were submitted to governments and to regional offices to be used as a basis for the
planning of follow-up work. In the field of malaria, the results bad been
encouraging.
5* The Director-General stated that the training courses in leprosy and trachoma
were proposed in order to meet to some extent the acute shortage of trained personnel
in these fields. As regards the proposed onchocerciasis training course, he stated
that there was a need for ophthalmologists with specialized Joiowledge of onchocercial
eye lesions to carry out the surveys required before measures of control could be
decided on. In Africa, for example, some 20 ООО 000 people were believed to be
affected. Exact statistics were not available, but there was a high percentage of
blindness. Some experiments were being carried out but WHO's efforts were directed
more to the control of the disease. Besides Africa, where the incidence of the
disease was the highest, the Eastern Mediterranean and, to a limited extent, the
Americas were also affected•
6. As regards the proposed training course on dried smallpox vaccine production
the Director-General explained that it was essential to the success of eradication
measures for dried vaccine to be produced on a large scale and WHO had been asked to
assist as the number of personnel with the necessary knowledge was very limited.
The proposed smallpox conference was intended to bring together the directors of
control programmes for the purpose of exchanging views and information, and planning
a more comprehensive programme.
EB25/AP/3 page 142
7. The conference on the technique of surveys on the epidemiology of mental
disorders was proposed, fallowing on an expert committee on the subject in 1959# as
the next step in the work of the Organization in the field of mental health,
8» The Director-General stated that tlje proposed seminar on medical use of radio-• * >
isotopes formed, part of the training prçgrarame developed over past years. , Training
courses on health protection had already been held in specific regions, and in 1959.
a seminar on the public health aspects of waste disposal was to be organized on an
inter-regional basis beoauae of the wide interest in the subject. The object of
the proposed seminar was to provide training at advemeed. level, for participants
d r a m from a number of countries in the various regions, in. a single aspect of the
medical uses of radio-isotopes. The International Atomic Energy Agency had a
special medieal unit dealing with the question of radio-isotopes and, to avoid over-
lapping, negotiations were in progress to have the seminar jointly sponsored with
that Agenoy.
9 . A member expressed the view that the proposed seminar on radio-isotopes appeared
to be -somewhat far removed from the normal activities of the Organization in disease
control and. that such work might more appropriately be left to governments themselves
or non-governmental organizations. In reply the Director-General stated that he was
unable to agree that the responsibility for a seminar of this kind should
necessarily be left to non-governmental organizations. Such organizations lacked
the necessary resources. Indeed, as would be seen from the budget, WHO was at
times called upon to give financial help for the essential work they carried out.
The seminar proposed was to allow an exchange of the experience already gained at
the national level rather than to be merely a training course. The International
Atomic Energy Ageney proposed to undertake projects of this kind and it was therefpre
considered essential that WHO should participate in a progranmie' relating to the
strictly medical field. The WHO proposals, which had been kept to a very modest
level, were in line with the policy laid down by the Health Assembly,
10. With regard to the project on diarrhoeal diseases, a membâtr expressed the view
that, in view of the multiplicity of causative agents, a single epidemiologist
could not be expected to have specialized knowledge of each one. In reply, the
EB23/AP/3 page 11)
Director-General stated that this proposal covered work preliminary to the develop-
ment of a more comprehensive programme on these diseases. The epidemiologist and
the laboratory technician would act as 6o-ordinators in finding the best approach
for the control of such diseases. A Study Group had been convened in 1958 on
this subject to review the existing situation and consider possibilities fc»r
action. The report of this group would be submitted to a later session of the
Executive Board.
11- In reply to a comment to the effect that the services of a laboratory
technician and a sanitary engineer would be essential to the success of any work
undertaken by WHO in the field of diarrhoeal diseases, the Director-General explained
that the proposals for i960 represented further action by WHO as an essential step
to reducing infant mortality. It would be advantageous to provide services on a
broader disciplinary basis. That this was recognized, was evidenced by the
existence cf a secretariat working party drawn from members of the Environmental
Sanitation^ Health Statistics and Conraunieable Diseases Divisions, and Maternal and
Child Health.
12. After further discussion of the problem of diarrhoeal diseases, during which
a member pointed out the need for strengthening research on the epidemiology of the
diseases and on means of Immunization against them, the Director-General stated that
one of the first tasks to be undertaken by the advisory staff in question would be
to assist national health authorities in epidemiological surveys with a view to
suggesting control measures. Clinical and curative measures were undoubtedly
needed, although the importance of environmental conditions in regard to the
diarrhoeal diseases could r,ot be left aside. As had emerged from the studies in
the Americas and fron the discussions of some groups of experts the problem had
Щ"ге implications than mere preventi.-n or control. Emphasis in those studies had
been laid on prevention of death. Interesting experiments with simple means had
been carried out on dehydration in sufferers.
13. With regard to the provision included in the estimates for the medical
advisers responsible for liaison with UNICSF, a member enquired as to the precise
functions of these advisers. In reply, the Director-General stated that these
EB2VAP/3 page 144
advisers, who have been made available at the request of U N I ΠP , were required to
keep in touch with the UNICEF administration for the purpose of advising on details
of joint projects in public healths These advisers came under the supervision of
the Director-General and reported directly to him.
14. In reply to further questions, the Director-General stated that the advisers
were employed not only to provide technical advice in regard to the procurement of
supplies and equipment; they also helped tr> explain WTO policies. The area
served by the UNICEF Regional Officers were quite different from the WHO regions；
the Office in Paris served the whole of Africa as well as Europe and a part of the
Eastern Mediterranean; that in Bangkok served part of the Eastern Mediterranean
as well as the Western Pacific and South-East Asia. In fields in which the
medical advisers were not able themselves to provide such specialized technical
advice as might be required, the regional office staff was available to meet such
requirements•
15* With regard to the provision included in the estimates to continue the
services of the public health personnel assigned to the United Nations Relief and
Works Agency for Palestine Refugees, a member stated that at the last session of
Sub-Committee A of the Regional Conmiittee for the Eastern Mediterranean, it had
been urged that the chief medical officer should receive instructions from the
Regional Office for the Eastern Mediterranean rather than from Headquarters• The
Committee noted that the matter was one for discussion In the Board when the report
of the Regional Committee is under consideration.
EB23/AP/!5 page 145
ШЖ 3
SUMARES S OF ESTIMATED 3 X M ) I Î U R E ÜND3R ТШ EXPANDED PROGRAMME OF TECHNICAL ASSISTANCE (pages Э16-ЗЛ4)
1. In the course of its study of the approved 1959 end tentatively proposed I960
programmes and estimates of expenditure under the Expanded Programme of Technical
Assistance, as suMnarized in this Annex, the Committee recalled that, for the
reasons explainsd in paragraph 6 of Chapter II, the Category X programmes shown for
I960 mast be regarded as highly tentative and that, on the basis of present
information, the target planning level was likely to be of the order of | 4 400 000
as against requirements amovuçiting to ^ 5 506 877.
2 . In introducing this Annex, the Director-General reminded the Committee that
this year the Category II projects had not been included in the summaries and
country schedules in Annexes 1 and 2, as their inclusion in previous years had given
the impression that the funds which would be made available to WHO would be much
greater than could be expected. The Category II projects had, however, been
scrutinized in exactly the sams way as the Category I projects and were now shown
in this Annex on pages 317 to 328.
3 . As tha Committee had previously reviewed the Category I projects during their
examination of the regional proposals as contained in Annex 2, the Category II
projects as shown in this Annex were considered as to thoir suitability for
inclusion in a health programme if Expanded Programme of Technical Assistance funds
should become available to carry the...a out.
4 . It was noted th&t the programme provided for a lsrge nvunbor of fellowships and
it was explained that in many instances such fellowships were elements to projects
for which the major portion of the requirements had been included in Category I
but where resources were inadequate to meet those elements « It was further noted
that individual fellowship projects were relatively easier of implementation than
projects providing personnel should savings under Category I be forthcoming to allow
the award of such fellowships. In reply to a question, the Director-General
EB23/AF/3 page 146
explained that the fellows were chosen by governmental committees, advised by WHO
officials, and that their placement was arranged initially by the Regional Office.
Some fellows studied in their own regions but the majority were placed outside, for
instance in the United States of America, Canada or Europe. This situation was
gradually changing, however, and an increasing percentage of the fellows were
being sont to centres in their own regions.
5« The Committee considered, that the procedures for developing the health pro-
gramme proposed to be financed from funds provided under tho Expanded Pfogremme •
of Technical Assistance appeared to be unnecessarily complex. The Coraralttee
understood .t hat thi.s aspect of the question would be considered by the Board un—er
agenda item 5 . L
page 147
PART III
PROGRAMMES AND ESTIMATES OP EXPENDITURE PRESENTED IN ANNEXES 4,5 AND б OP OFFICIAL RECORDS NO. 89
ANNEX 4
MALARIA : OPERATIONS PLANNED TO BE FINANCED FROM THE MALARIA ERA1DICÂTÏON SPECIAL ACCOUNT AND INCLUDING REGULAR, TECHNICAL ASSISTANCE AND OTHER
EXTRA-BUDGETARY FUNDS (pages 3^-595)
1. Introduotion
1.1 Following the preliminary consideration of the proposed programme and budget
estimates for I960, the Committee examined the details of the programme planned in.
the field of malaria. In accordance with resolution WHA8.30 1 of the Eighth World
Health Assembly, all operations planned to be financed from the Malaria Eradication r ‘
Special Account were presented separately in Annex 4 of the budget volume. This
Annex, it was noted, had been expanded to give a complete picture of all activities
in the field of malaria, regardless of the sources of funds from which such
activities are financed.
1.2 Before commencing its study of the detailed programme as contained in the
Annex, the Conmittee noted that the malaria operations planned for I960, as shown
in the consolidated summary «1 page ；5.46 of Official Reoords No. 89, were estimated
to cost $ 18.2 million. In reply t<5 a question regarding the sources of the funds
shown In the recapitulation table under "Other Extra-budgetary Funds", the
Director-General informed the Committee that, apart from the amounts indicated as
relating to the Special Malaria Fund of the Pan American Health Organization, the
amounts given for the years 1959 and i960 related mainly to funds allocated or
expected to be allocated by UNICEF for jointly-assisted UNIŒF/WHO projects in the
field of malaria, and that the ambunts already allocated were denoted by asterisks
in the detailed cost schedules. The Committee noted that the total amounts were
made up as follows Í
1959 $
Ш
Allocated by UNICEF
Expected to be allocated by UNICEF
Other Sources
4 255 000
2 163 800
19 015
6 437 815
250 000
5 758 200
1 Handbook of Resolutions and Deoieions, 'rth od.t рщ Щ
EB23/AP/!5 page 148
1.5 The Committee's observations arising out of its detailed examination of the
operations in the field of malaria as presented in Annex 4 are set forth in the
following paragraphs:
3 , Programme Activities (pages 349-352)
The Committee noted, inter alia, that no changes In the staffing pattern at
Headquarters were proposed and that provision had been included under the Malaria
Eradication Special Account in the amount of $ 30 000 for i960, as for 1959, for
special research in certain aspects of malaria eradication such as that connected
with nomadism, the ecology of anopheles sergenti and anopheles claviger, the
resistance of anopheles sacharovi to dieldrin and the potential effects of
4-araino-quinolines and 8-araino-quinolines given concurrently.
4 , Regional Offices: Sunanary (page ；552〉
Having noted this summary, the Committee considered the proposals for the
individual regional offices in conjunction with the proposals for field activities.
5, Administrative Serviee^s (pages 353-355)
The Committee noted that the proposals under the Malaria Eradication Special-
Account represented the minimum requirements necessary to strengthen those units
most directly involved in servicing the Malaria Eradication Programme. It further
noted that the Director-G neral proposed no increases in the posts to be financed
from the Special Account as compared to the 1959 estimates.
S , Common Services at Headquarters (pages 556 and 357)
The Committee noted that the estimated expenditure for Common Services under
the Malaria Eradication Special Account totalling $ 26 358 for i960, represented
the percentage of the total Common Services costs at Headquarters apportioned to
the Special Account, on the basis of the number of staff members financed from the
Regular Budget and the Special Aeoount respectively.
7. Other Statutory Staff Coats (pages З56-З58)
The Committee noted that these estimates related only to üie statutory costs
other than salaries of all the personnel shown elsewhere in the estimates under
EB23/AP/!5 page 149
the Malaria Eradication Special A-count (Programme Activities, Regional Offices,
Field and Administrative Services).
8. Africa (pages 359-爽）
The Regional Director informed the Committee that no increase to. the 1$60 .
proposals for the Regionál Office or Regional Advisers was proposed. In 1958, a
mlariologist and an entomologist had been added to the regional advisory staff
under the Malaria Eradication Special Account and it was proposed to recruit an
engineer and a sanitarian during 1959. There was, however, a large increase in
the staff proposed for field activities which was primarily due to the fact that
in 1958 and 1959 the programme provided only for pre-eradication activities, whereas
it was expected that by i960 large-scale eradication programmes in certain parts
of Africa (primarily the south-eastern part) would be undertaken. The Committee
recognized, that the eradication of malaria in tropical Africa was a great problem
but it was gratifying to note the encouraging results so far obtained from the
many pilot projects now in operation in different areas of Africa.
9. Americas (pages 566-57^)
1. In introducing the proposed programme for the Region of the Americas
the Regional Director stated that all the technical and financial resources of
the Region were r e q u i r e d if eradication was to be accomplished. He believed that,
if attempts to eradicate malaria were to be successful, the attack must be world-
wide. In answer to a question, the Regional Director informed the Committee that,
apart from the United States of America where malaria no longer presented a problem,
eradication of malaria had been achieved in large areas of Venezuela, Chile,
Brazil and British Gaiana. With one exception, all the countries of the Region
had eradication plans under way or in process of preparation.
2. The Committee noted that good progress had been made in the programme
undertaken in Mexico and that the stage had now been reached where evaluation
studies were required to ascertain exactly what remained to be done. It was
further noted that the problem of anophelene resistance to insecticides had been
EB25/AP/3 page 150
constructively tackled in the Region and that large and successful training
centres for personnel had been established in Venezuela, Mexico, Guatemala and
Brazil. These centres were open to participants from all regions.
10. South-East Asia (pages 575-578)
1 Œhe Regiceial Director explained that many of the eradicatiwi projects now
being undertaken in ihe Region had been long-standing projects on malaria control
which had been converted or were in the process of conversion to eradication.
Several of the countries were also receiving considerable bilateral assistance in
addition to that given by WHO.
2 The Committee noted in the course of its examination of the eradication
activities in this Region that the programme now being carried out in India was
the largest in the world and that the Government had 200 spraying teams in
оDeration to cover a population of 200 million. During 1959 anotiier 1б0 teams
would be starting operations, bringing the total number of teams to 36O, in order
t。 aover areas of lesser incidence, thereby increasing to between 560 and 390 million
tbe population to be protected. Training programmes had been expanded in the
country with the help of WHO and it was hoped that the WHO Advisory Teams now
working in India would produce useful data which would eventually be of benefit te
oiíher countries in the Region. To illustrate the scope of the programme, the
Committee noted that the Government of India anticipated spending over
$ x5 000 000 for its Malaria Eradication Programme in 1959 a n d that the oosts te
tb . Government in the second period of the total plan were estimated at
ap roximately $ 100 ООО 000.
11. Europe (pages 379-382)
I The Committee viewed the programmes proposed for the individual countries
ar,.d was informed by the Regional Director that the full staff shown in the
es.limâtes was considered to be adequate to meet the needs for i960. However, by
1,961, it was anticipated that some increase in personnel would become necessary.
.- 2 It was noted that in Turkey anophelene resistance to insecticides had
.developed and that this, together with a shortage of adequate national personnel
might have serious consequences for the programme.
EB23/AP/!5 page 151
3, The Regional Director informed the Committee that as there was no malaria
In many of the countries in Europe it had so far been difficult to elicit their
financial support for the eradication programme. It was true that certain
countries had to furnish substantial funds for eradication programmes in their
overseas territories.
12. Eastern^ Mediterranean (pages 583-587)
1 # As regards the programmes proposed in the Eastern Mediterranean Region,
the Regional Director informed the Committee that Cyprus was the only territory
in the Region that had achieved interruption of the transmission of the disease»
Be reported that most countries in the Region had recognized the importance of
energetically pursuing the eradication approach and that a large majority of them
had already promulgated the necessary legislative measures or were in the process
of doing so.
2 The operations already in progress with WHO assistance in seven countries
in the Region were proceeding satisfactorily and it was expected that some of them
would reach the stage of surveillance in 1960, Many of the programmes were
being assisted by UNICEF and also bilaterally,
3 # The Ccfflimittee noted that WHO was giving valuable assistance to governments
for the training of malaria eradication personnel. The regional training centre
established in Cairo was training malariologists# entomologists# sanitarians and
teohnioians in eradication techniques and procedures# Other similar training
centres niight be established in the Eegion#
13ш Western Paclfio ^pages 388-392)
X # In introducing the programme proposed for the Western Pacific Region^
the representative of the Regional Director informed the Committee that# in
addition to the programme shown in Annex 缽 and now under review^ a number of
projects were being convicted by several governments in th© Region at their own
cost and with no assistance from Щ0.
EB2J/AF/3 page 152
2 . To illustrate the benefits deriving from area operations, the
representative of the Rcgicaial Director stated that, when the country-wide
programme started in Taiwan in I95I there was an average of 1.2 million cases of
malaria reported, eaoh year. After four years' work, vigorous surveillance
measures revealed only ^00 oases and it was hoped that complete eradication would
be achieved within a few years. . . .； «•
‘ 3 . The Philippines programme was progressing steadily and already areas where
endemic malaria had. existed were being opened up for industrial developaent. The
Committee noted that campaigns in other countries of the Region, suoh as Cambodia’
while proceeding satisfactorily, had encountered a nvunbér of diffioulties, since
people were moving their living quarters temporarily into the jungle. It was
hoped that the introduction of chemotherapy, including the use of Pinotti's method
would serve to interrupt transmission of the disease in many of these cases.
14» Inter-reyional and Other Aotlvlties (pages 393-395)
1. The Committee noted that these activities include the necessary provisions
for training courses and post training employment of malariologists and
entomologists, consultant services and a pool of malariologists. ®ie latter had
a wide knowledge of the problems involved in combating malaria in many areas of
the world and they spent approximately half tbeAr time visiting field, projects.
Their services had proved of great value in assisting malaria eradication
operations.
2. It was also proposed to provide for the continuation in i960 of the four
advisory teams financed under the Regular Budget. These tea邮 were, asstsitng ‘
governments in the assessment of progress made in eradication programmes,
investigation of speeial problems, training and survey work.
15. Conclusions
1. The Committee considered that the malaria eradication operations proposed
by the Direotor^General for i960 were well planned and should be implemented. It
was agreed that：
ЕВ2，/АБ7З
page 153
(a) the estimates were adequate to carry out the Organization's
constitutional functions in this field；
(b) that it conformed with the decisions of the World Health Assembly;
(c) that the programme envisaged could be carried out during the budget
year, if the necessary funds were forthcoming.
2 The Committee noted that on the basis of the funds available in the
Special A-count at the time of its review ther& was a shortfall of approximately
8.4 million dollars in the amount required to finance the proposed operations to
the end of i960. The aspects of financing the programme are the subject of a
separate report of the Committee.
EB23/AF/3 page 15紅
ANNEX 3
RESEARCH PLANNING: OPERATIONS PLANNED TO BE FINANCED FROM THE SPECIAL ACCOUNT (pages 399-^00)
1* The Director-General informed the Committee that，in accordance with
resolution WHâll.35*1* a Special Account for Research Planning had been established.
2. The Resolution requested the Director-General "to organize and arrange for a
special study of the role of WHO in research and of ways in which the Organization
might assist more adequately in stimulating and co-ordinating research and developing
research personnel" and "to prepare a plan on the basis of such study in the
furtherance of research for transmission to the twenty-third session of the Executive
Board and to the Twelfth World Health Assembly^ with cost estimates".
The Committee noted that the Director-General had convened two groups during
1958 to discuss this matter and that he was submitting a special report on the
subject to the Executive Board. It was further noted that this Annex showed cost
estimates for 1958 and 1959 only since the activities to be financed from the Special
Account in i960 would depend on the decisions which would be taken by the Board and
the World Health Assembly.
In reply to a question, the Dire с t or-General explained that it had not been
possible, in the relatively short time which had elapsed since the Eleventh World
Health Assembly had adopted resolution WHA11.55,1 to present a detailed plan with
cost estimates• The report which he was submitting to the Board on the subject
therefore dealt only with the questira of what role should be played by WHO.
5. Since the operations planned to be financed from the Special Account^ as
presented in Annex 3， included 110 proposals for i960 the Committee decided that it
was net required to discuss in further detail the contents of this Annex•
1 Off. Rec, Wld Hlth O r g ,私 32
E325/AF/3 page 155
ANNEX 6
ADDITIONAL ÎROJECTS REQUESTEP BY GOVERHMENTS AKD NOT INCUJDED IN THE PROPOSED PROGRAMME AND BUJXJET ESTIMATES (pages ^ОЗ- О)
The Committee noted that Annex 6 contained textual data, together with cast
estimates (totalling 傘 2 V77 867)^ concerning additional projects requested by
g^emnents and not included in the proposed programme and budget estimates, and that
amongst these there were many useful projects which had been negotiated with
genrernments and which could be implemented if the necessary funds were available.
However rsiüce Annex 6 did not form part of the Director-General's proposals for i960
the Committee decided to take no further action, while recognizing that if it were
ultimately suggested that the budget ceiling proposed by the Direсtor-general should
be raised the projects in Annex 6 could be considered.
EB25/AF/ page 156
CHAPTER V
QUESTIONS OF MAJOR IMPORTANCE TO BE CONSIDERED BY THE BOARD
1. Matters to be considered by the Board in accordance with resolution Of the Fifth World Health Assembly — — — ~ - - ———— -————
1.1 In resolution the Fifth World Health Assembly directed that the Board's
review of the annual budget estimates in accordance vith Article 55 the Сcmetitutioil-
should include consideration of the following:
"(1) whether the budget estimates are adequate to enable the World Health Organization to carry out its constitutional functions, in the light of the current stage of its development；
(2) whether the annual programme follows the general jarogramme of work approved by the Health Assembly;
(5) whether the programme envisaged can be carried out during the budget year j and
(b) the broad financial implications of the budget estimates, with a general statement of the information on which any such considerations are based."
1.2 in the light of its detailed examination of the proposed programme and. budget
estimates for i960, the Committee had the following suggestions to make to facilitate
the Board's ccmsideration of the above matters:
(1) In the opinion of the Conanlttee the proposed budget estimates t^r i960
are adequate to enable the Organization to carry out its constitutional functions in
the light of the current stage of its development.
(2) The Committee considers that the proposed programme for i960 follows the
general programme of work for the period 1957-60 as approved by the Eighth World 2
Health Assembly in resolution WM8.10.
1 Handbook of Resolutions and Decisions，Ifth ed., p.l86
о Handbook of Resolutions and Decisions,紅th ed., p.2
EB23/AP/5
page 157
⑶ In the light of a statement by the Director-General to the effect that the
Organization was adequately equipped for the expansion of its activities as proposed
by him and that, although the recruitment of the requisite staff always posed
problems, it was now easier to obtain health personnel than in previous years, the
Committee concluded that the programme envisaged could be carried out during the
budget year, provided the services of the requisite personnel could be obtained.
With regard to the operations planaed to be financed from the Malaria Eradication
Special Account, the Committee, having noted that the resources available in the
Special Account were not even sufficient to meet the requirements for the year 1959,
considered that the Organization could implement the programme in full, if the
necessary funds were forthcoming.
As regards the tentative programme envisaged for i960 under the Expanded Programme
of Technical Assistance^ the Committee noted that, in the light of foreseeable
resources at the present time, this programme would be at a lower levQl than that
reflected in the proposed programme and budget estimates for i960.^
The Committee was of the opinion that the ability of the Organization to carry
out this programme was not open to doubt.
(4) In reviewing the Director-General 's proposed programme and budget estimates
for I960, the Committee took due account of the fact that the implementation of the
proposals as planned under the Regular Budget would necessitate the establishment of 2
an effective working budget in the amount of $ 16 4i8 700 representing an increase
of $ 1 251 96O or 8.25 per cent, over the correspc^iding level for 1959- In considering
this increase the Committee noted that the amounts of the effective working budgets
established by the World Health Assembly for the years 19斗9 to 1959 and the increase
over the preceding year^ by amount and percentages^ were as follows s
1 Off, Rec, Wld Hlth Org, 89 2
See Appendix 13 revising the corresponding table shown on page 11 of Off. Rec, Wld Hlth Org, 89
EB25/AÎ0
page 158
Year Effective
Working Budget
Increase over Preceding Year
Amount Percentage
19^9
1950
l?5l
1952
1953
195^
1955
1956
1957
1958
1959
5 000 000
6 300. 000*
6 52了 扛01*
T 782 332
8 1 85 095
8 h ^ 700
9 500 ООО
10 205 oQk
12 532 760
Ik 290 130**
15 166 7^0**
АФ
1
1
2 1
500 000 26.00
227 401 5.60
251+ 951 19.20
702 763 9.05
12 605 0.15
002 500 xi. 79
705 08^ 7Л0
529 676 22.80
757 570 Ik.02
876 610 6.I5
Expenditure level
** Including, for purposes of comparison, amount of I 12k 000 allocated from the Special Account of the Expanded Programme of Technical Assistance towards the administrative and operational services costs of that programme.
It was noted that the comparatively high percentage increase in 1957 stemmed from
the fact that in that year the Health Assembly approved an additional appropriatio'i
of some $ 1-У2 million for an expansion of the activities of the Organization to be
financed by additional funds which became available as a result of the resumpticn by-
certain Members of active participation in the vork of the Organization. Furthermore
the Committee recognized that the percentage increase in 1958 as compared to 1957 of
14.02 per cent, resulted from the fact that the amount of the effective working budget
shown for 1958, as explained in the footnote to the above table^ included Ф J2k 000
allocated from the Special Account of the Expanded Programme of Technical Assistance
towards meeting the administrative and operational services costs ':.f that programme.
The corresponding costs were not included in the years prior to 1958, so that the
percentages cannot be compared. If the 1958 amount excluded the 翁'jZk 000 referred
to above； the increase f^r that year would be 8Л per cent.
EB25/AF/ page 159
The Committee also recalled that the Eleventh World Health Assembly had apja-oved
unanimously the programme and budget estimates for 1959 as proposed by the Director-
General, the budget of that year representing an increase of approximately 5.3 per
cent, over that approved for 1958•
The Committee recognized that each of the regional committees, at their
meetings in 1958, after examining the draft regional programmes and budget estimates,
had endorsed the programmes and adopted resolutions to that effect.
In the light of the above considerations and those set out in paragraph 1.5 below
the Committee considered, that the budget level proposed by the Director-General was
reasonable and suggested to the Executive Brard that it recommend to the Twelfth. Wrarld
Health Assembly that the effective working budget level established in the amount
of $ 16 418 700.
1.5 The financial implications for governments which were taken into account by the
Committee in arriving at the above recommendation, included aleo the following;
2. Casual Income
2.1 The Committee noted that the total amount of casual income which the Director-
General recommended should be used to help finance the i960 budget was $ 500 ООО,1
composed of § 51 960 representing assessments on nev Members from previous years,
$ 27 000 available by transfer from the Publications Revolving Fund and $ 0^0
representing estimated miscellaneous income and, to the extent that the amount of
miscellaneous income which will ultimately become available might fall short of
$ 0^0, the difference to be made available by transfer from the cash portion of
the Asaembly Suspense Account.
2.2 At the time of its study of this aspect, the Committee was informed that the
amount of miscellaneous income was provisionally estimated at $ ООО as follows :
1 Off. Rec. Wld Hlth Org, 8£, p.9
EB25/AF力 page 1бО
Ф
Interest earned 170 000
Refunds and Rebates ООО
Exchange differences ООО
Gifts and Bequests 1 6oo
Savings on unliquidated obligations 23 000
Transfer from Publications Revolving Fund 89 000'
Revenue from Swiss Postal Authorities 18 000
Collection of Arrears of Contributions OIHP 8 200
Other 16 200
Total 000
1 Resolution WHA1I.6, Off. Rec. Wld Hlth Org, §7, 21
EB23/AF/5 page 161
2.3 In the light of this information the Committee, whilst noting that the
final figures would not oe known until the accounts for 1958 have bean finalized
and audited by tho External Auditor, had reason to believe that any shortfall that
may ultimctely have to bo mot by transfer from the cash portion of the Assembly
Suspense Account would be relatively small. The Ccjmmittse further noted that,
at the time when the I960 estimates wero prepared, the amount available in the
Assembly ouspense Account was approximately $ 62Д 000 and that, by the time of the
Twelfth World Health Assembly, when the precise amount of casual incomo and of the
balance of the Assembly Suspense Account would be known, the bslance of tho account
was likely to bo even larger.
2.4 In considering the total amount of available casual incomo which should
be used to help finance the i960 budget, the Gommittes recalled the decision of
the Slevonth World Health Assembly to limit the use of casual income for financing
the 1959 budget to | 400 000 in order to avoid undue fluctuations in the assess-
ments on Members from year to year which would result from using whatever incane .
might Ъс available each year. The Cc»nraittee noted that, in the light of
information provided by the Director-General concerning the amount of casual income
available at prosent and in the foreseeable future, there was reason to believe
that an amount of | 500 000 would Ъе appropriate to help finance the I960 budget
and that the same level could be maintained in future years. Assuming that the
Twelfth >JorId Health Assembly would wish to review the situation in the light of
the actueJL amount of casual income available at that time, the Committee had no
comment to make on tho amount of casual income proposed by the birector-Gcneral
、o help finance the I960 budget.
3. Scale of Assessments
3,1 Paragraph 2.(5) of resolution 1/Л1А.8.51 of the Eighth World Health Assembly
provides :
"that in establishing the scsile of assessment to be used in I960 and future years, the Health Assembly shall further adjust the >JH0 scale to take into account the l&test avail?i»lü United Nations scale of assessment"•
1 Handbook of Resolutions and Decisions， 4th ed,, pp. 230 and 231
EB23/AP/5 page 162
3.2 As the General Assembly of the United Nations had adopted the scale of
assessments on Members of the United Nations for 1959, the Director-General had
been able to present a scale of asssssmonts based on the effective working budget
of $ 16 418 700 proposed by him for I960 (see paragraph 1.2(4) above), as sot out
in Appendix 14* The ？ssessment-s f r 1958 and. 1959 were also shown for purposes of
с caparison* The projected scale submitted by the Director-General had been based,
on the United Nations scale for 1959 adjusted to take account of the WHO membership,
the assessment of the highest contributor being calculated as a percentage of the
total assessment on Members actively participating in the work of the Organization.
At the time when this scale had been calculated, three Members (Byelorussian SSR,
Hungary and the Ukrainian SSR) were still not actively participating in the work
of the Organization. Since the 1959 United Nations scale made full application
of the per capita limitation principle, the projected scale as submitted by the
Director-General also mads full application of this principle.
3.3 The projected scale a.s submitted by the Director-General was subject to
revision should any now Members join the Organization, or should one or more of
the Members who had not resumed active participation in the work of the Organization
do so by the time of the twelfth World Health Assembly.
3.4 The CcHniTiitteo noted, as shown in Appendix 15, that the contributions of
63 Members were greater than in 1959 and the contributions of 25 Members were less
than in 1959. It also noted the percentages of the increases and decreases for
individual Members * These changes were the result of two factors ； one was the
increase in the size of the proposed I960 budget (8.25 per cent.)} the other, the
changes in the United Nations scale for 1959 which were reflected in the I960 WHO
scale. Out of the 88 Members of the WHO as at 1 January 1959, 85 were also Members
of tho United. Nations, A comparison of the United Nations scale for 1958 with
that of 1959 reveals that the assessments of 30 Members remain the same, 21 Members
have increased assessments and 34 Members have decreased assessments.
3.5 The Committee considered the question of using a percentage scale of
assessment in the future rather than the present system where the assessments of
6。me Members are shown in percentages and others in units.
EB23/AF/5 page 163
3.6 The Director-General stated that he saw no objection to making such a
change. The First World Health ¿ssembly had adopted the unit system becausc of
conditions which existed at the time the first scale of assessments was adopted. 、• Л
The present system, which is expressed partly in percentages and psrtly in units,
arose out of tho decision of the Seventh World Health Assembly in resolution
in which thu Assembly decided that "the minimum assessment of Members
shall be 0.04 per cent, instead of the present 5 units" and the decision of the 2
Eighth World Health Assembly in resolution "WHA8.5 in establishing the assessment
of the Moaibsr malting the highest contribution on s. percontago basis.
3.7 The Coriuiiittee decided to recoimuend to ths Board that it recommend to the
Twelfth World Health Assembly that, commencing with 1961, the WHO scale of assess-
ments shall be expressed in percentages. Accordingly, the Committee suggested
that the Executive Board adopt the following resolution:
"The Executive Board •
Having studied the Soale of Assessments,
Noting that the conditions which made it desirable for the adoption
of ths unit system by the First World Health Assembly were no longer
applicable, ,
Noting further that tho present system expresses the scale of
assessments partly in percentages and partly in units,
Believing that it would assist Members ^f the scale were expressed
entirely in percentages,
DECIDES to recommend to the Twelfth World Health Assembly tho adoptiQn
of the following resolution:
The Twelfth World Health Assembly,
Having noted a report by the Executive Board on the Scale of
Assessments,
DECIDES that for 1961 and future years the Scale of Assessments
shall be expressed in percentages
Handbook of Résolutions p.pd Decisions, 4th ed., p.230
2 Handbook of Résolutions snd Decisions， 4th ed., pp. 230, 231
EB23/AF/ page I64
А Л T h e Conmittee noted the information submitted to it on the status of
collections of annuel contributions and of advances to the Working Capital Fund 1
showing that the collections of contributions in respect of the 1 9 5 S assessments
a S a t 3 1 D e C e M b e r 1 9 5 8 咖 馳 t e d 切 96,24 per cent, of the assessments on active raemberS'版 corresponding percentages of collections for the past three years
are as followss
1957 • 97.08 per cent. 1 9 5 6 - 95.60 per cent. 1955 • 91.88 per cent.
f h e C 0 n , m i t t e e w a s i^ormed that, during the first few days of Janua^r 1959, t w 0
further contributions for 1958 had been received which, if they had been received
a few days earlier would have raised the percentage of collections in 1 9 5 8 to
9 7 , 6 5 P e r C 9 n t * i n s t e a d o f 96,24 per cent. It was considered that, although
there w a s still room for some improvement, the collections w e r G g o o d ^ i n d i c a t e d
the interest of governments in the work of the Organization and their readiness
to meet their obligations to WHO. It was noted that all countries actively
participating in the work of the 0rgani 2 a tion as at the end of 1 9 5 S had paid their
advances to tho Working Capital Fund.
‘2 The Committee noted, however, that there were six Members who would be
subject to the provisions of paragraph 2 of resolution WHA8.11 2 of the Eighth
World fealth Assembly unless p ^ e n t s were received prior to the opening of the
Twelfth Viorld Health Assembly,
^ 3 ^ C o m m i t t e e recommends to the Executive Board the adoption of the following resolution»
"The Executive Board,
Having considered the report of the Director-Genoral on th 2 status of
collections of annual contributions and of advances to the Working Capital
Fund as at 31 December I958,
Chapter I, paragraph 3.1.1.2
2 Handbook of Resolutions and Decisions r 4th ed. p, 242
EB23/AF/3 page 165
Noting with satisfaction the payments made in respect of the 1958 ‘
assessments and that all active Members have paid their advances to the
Working Capital Fund； and
Noting that, unless payments are received before the opening of the
Twelfth World Health Assembly from Bolivia, Honduras, Paraguay, Peru,
Uruguay and Yemen, those Members will be subject to the provisions of
paragraph 2 of resolution WHA8.131 of the Eighth Vorld Health Assembly,
1» URGES those Members to liquidate their arrears before the opening of
the Twelfth World Health Assembly,-
2. REQUESTS the Director-General to communicate to those Members the
contents of this resolution 5 and
3• FURTHER REQUESTS the Director-General to submit to the Twelfth World
Health Assembly a report on the status of annual contributions and of
advances to the Working Capital Fund, with particular reference to those
Members, if any, which are subject to the provisions of paragraph 2 ,of
resolution VJHAI8.I31 of the Eighth World Health Assembly.",
5• Publications Revolving Fund
5,1 The Coinmittee noted that the Director-General ' s proposed programme and
budget estimates for I960 included amounts totalling $ 27 000 to provide for the
printing of publications and copies of film prints for sale. This amount has
been included in the oasual income available by transfer from the Publications 2
Revolving Fund. In this connexion the Committee examined the proposal of the
Director-General to extend the use of the Fund to include the financing of film
prints and any other material produced by the Organizetion for sale ; to change
the title of the Fund to "Revolving Sales Fund" and to transfer the balance in
the Fund at the end of each financial year in excess of | 40 000 to Miscellaneous
Income. It was noted that the procedure proposed relating to the transfer of
surpluses to Miscellaneous Income was similar to that already adopted by certain
other specialized agencies 0
1 Handbook of Resolutions g.nd Decisions, 4th e d ” p.24-2
2 EB23/65
EB23/AF/ 3 page 166
5.2 In reply to a question, the Committee was informed that, although the Fund
•will help finance the I960 programme and budget estimates to the extent of (? 27 000
the surplus in the Fund at the end of 1959, in excess of $ 40 000, which would be
transferred under the new proposal to Miscellaneous Income, would become available
as part of the casual income to help finance the 1961 budget.
5.3 The Committee agreed with the Director-General•s proposal and decided to
recommend to the Executive 3oerd the adoption of the following resolution for
submission to the Twelfth ¥orld Health Assembly;
"The Executive Board,
Having considered the report of the Director-Genewd on the Publications
Revolving Fund； •
Believing that it is necessary to extend the purposes of the Fund to
include the provision of additional copies of WHO films, filmstrips, other
visual aids and any other item which the Organization may produce for sale;
1. RECOMHENDS that the arrangements proposed, by the Director-General should
be adopted;
2. DECIDES to recommend to the Twelfth World Health Assembly the adoption
of the following resolution；
The Twelfth World Health Assembly,
Recalling resolution 碰1,92 of the First World Health Assembly,
which authorized the establishment of a special Revolving Fund for
Publications and laid dowi its composition end use and the financial
arrangements governing itj
Having considered tho recommondations of the Executive Board
concerning the Fund；
1. DECIDES that the Publications Revolving Fund shall be superseded
by a Revolving Sales Fund, which shall consist of the following:
(i) the balance in the Publications Revolving Fund, and
(..) с <- . 、 > 人：， “ :i (ii) proceeds of the sale of publications, films, filmstrips,
other visual media and any other items which the Organization may producc for sale»
E323/AF/ page 167
2. DECinES that the following conditions shall govern the operations
of the Revolving üalos Fund;
(i) the Fund shall be used for thn purpose of financing the cost of printing additions! copies of WHO publications for sale and of producing additional copies of Ш0 films, films trips, other visual aids and the production of any other item which the Organization may.produce.for sale;
(ii) proceeds of such sales shsll Ъэ credited to the Fund； and
(iii〉 the st?.tus of the Fund shall be shown in the annual Financial Reports of the Organiastion.
AUTHORIZES the Director-General at tha end of each financial year
to transfer to Miscellaneous Длсошо anj sunis in the Rovolving Sales
Fund in excess of | ДО 000."
EB23/AF/^ page 168
6.. Financial Participation Ъу Governments in WHO-assisted Projects in their Own Countries
6.1.',) - The Committee noted that, in pursuance of resolution WHÀ7.36^ in which
the Seventh World Health Assembly requested the Director-General, inter alia, "to
indicate by countries•the additional amounts expected to be contributed by the
governments in local currencies (expressed in US dollars) in respect of the proposed
health programmes11,, the Director-General, through the regional offices, had requested
governments to provide information on the amounts expected to be spent by them in
lecal currencies towards the costs of Implementation of projects in their countries.
With the aim of securing uniformity, governments were asked to calculate these 2
amounts on the basis of the items listed in the footnote to resolution WHA.5.59 of
the Fifth World Health Assembly, reading as follows s
"(a) local technical and administrative personnel, as well as labour；
(b) local running costs directly associated with the projects；
,(e) costs of building directly connected wLtíi the project (rent or construction costs)}
(d) equipment furnished by the governments；
(e) supplies and materials furnished by tíie governments}
(t) office supplies and space；
(g) l«cal transportation ?
(h) postal and telecoiimunication costs；
(i) lodging for international staff and their dependants；
(j) travel per diera for duty travel in the country；
(k) medical care for international staff."
‘ The C«minlttee further noted that, because «f a subsequent decision 6f the 1 » .
Health Assembly , information «n i tais (i) and ( j) was no longer required.
ЪЗ'Ь ’ The Cemraittee was informed that tiie number of countries in respect of
which such information had been received, as shown in Appendix 16 was 97 or 73*5
per cent* of the total number (132) in which projects were in operation in 1958 or
in which projects were planned to be implemented in 1959 and I960, as shown in
Official Records No, 89 and that the total estimated costs of ШО-assisted projects
Hísndboolí of Resolutions and Decisions, 4th e d” p. 13Д
Handbook of Resolutions and Decisions, 4th ed” p. 262
EB23/AF/ page 169
in the countries concerned for each of the years 1958, 1959 and I960 were as follows :
Estimated Estimated Costs Government of ШО-assisted Gontribu.tions Projects
У
1958 77 22Д 222 12 739 524
1959 73 012 Л25 13 918 192
I960 71 969 676 16 761 286
5Д ；/ ！ The Committee was furttiBr informed that, whilst such information was
lacking for raai^- countries, the returns received had increased over the years.
6,5 :). j The Ccanmittee also noted that while the criteria for establishing the
estimated contributions are uniformly applicable and the basis for computation is
therefore comparable, the amounts shown for the various countries as such are of
course not coraparable. Indeed, it appeared never to have been the intention of
the Health Assembly that comparisons should be drawn between countries. This is
so because the additional expenditures which governments incur in relation to ШО-
assisted projects are of a different nature and cover requirements which vary from
country to country. For instance, the estimated government expenditures towards
a malaria eradication programme would be very substantial, whereas the expenditures
cf another government towards an individual fellowrHips project would be relatively
small.
6,6. . Some members of the Committee expressed doubts as to the ccmparability of
the amounts shown in Appendix 16, but the consensus of opinion was that they had an
ebvious utility in indicating the magnitude of costs to governments for such
activities as were assisted by the Organization. Nevertheless the Committee
believed that there was room for some improvement in achieving greater uniformity
in the application of the criteria and in obtajjiing more useful information. The
Committee decided to recommend to the Board that it request the Director-General
to give the matter further consideration and to make recommendations thereon.
EB25/AF/5 pr.ge 170
2•乂 The Needs
7 .X - Specific Requests by Governments for assistance from WHO
In paragraph 7 of Chapter II of the report of the Executive Board at its 1
twenty-first session on the proposed programme and budget estimates for 1959,
reference is made to the fact that, at the time of its examination, the Board found
that the total estimated costs of projects which had been requested by governments
but for which it had not been possible to include provision in those estimates had
amounted to some $ 5 200 000 taking also into account those activities which had
been planned under the Expanded Programme of Technical Assistance, but which could
not be accommodated within the funds expected to be made available for that pro-
gramme. The Committee noted that, after allowing for increases in the programme and
budget estimates proposed by the Director-General for i960 as compared with the 1959
level, the comparable estimated total costs of the activities for which provision
in i960 could not be foreseen had risen to some $ 6 100 000, as indicated in
paragraph 11 and Table 17 of Chapter II of this report.
1.Z Malaria Eradication Special Account
On the basis of the latest available information at the time of its review, the
Committee noted that unless substantial contributions to the Malaria Eradication
Special Account』 the requirements for 1959 alone would exceed the total availability
by approximately $ 1 JOO 000 and that the total amount of additional contributions
which would be needed to finance the planned programmes through i960 was of the
order of $ 8 400 000. In the light of this situation the Committee decided, pursuant
to a request of the Executive Board, to examine the problem of future financing of
the Special Account. The findings and re commendations of the Committee on this
aspect will therefore be submitted separately.
7.3 Other Special Accounts
The Committee took note also of the potential need of the Organization for
additional funds which may result from the following resolutions of the Eleventh
World Health Assembly:
1 Off. Rec. Wld Hlth Org. 84, 2J>
EB23/AF/ page 171
(1) WHAll.35： Plan for an Intensified Research Programme
(2) WHA11.27? Environmental Sanitation
(3) VJHA11.54î Smallpox Eradloatlon
The Committee noted that no firm plans had as yet been developed by the
Organization in respect of the programme aspects and cost estimates relating to the
subjects of these resoluticais, but that the Director-General Intended to report to
the Twelfth World Health Assembly on the results of the studies carried out by him.
The Committee noted that the establishment of a multiplicity of special accounts,
which might result from further action consequent upon these resolutions of the
Eleventh World Health Assembly, had certain disadvantages from an administrative
point of view. The Committee therefore gave consideration to the possible establish-
ment -of a single fund to finance activities in these various fields with sub-accounts
for each purpose, with the exception of the Malaria Eradication Special Account
whioh, in view of the importance of the programme and the faot that it was already
in operation, should in any event be kept separate. The Committee decided to make
no specific recommendation on this aspect at this stage pending further study by
the Director-General of the advantages or disadvantages of such an arrangement. The
Director-General indicated that he would be submitting his views on this matter t«
the Executive Board in the course of its current session.
8. Other Questions of Ma.1or Importance to be discussed In the Board
8.1 In accordance with its terms of reference, the Committee decided to draw the
Executive Board's attention to the following specific questions of major importancet
(1) Changes in the Organlzatlaial Structure of the Secretariat
(2) Proposed establishment in I960 of a fourth post of Assistant Dlreotor-Qeneral
(3) Environmental Sanitation (progress report by the Director-General)
8.2 With regard to the first QuesticHi, the Committee calls attention to its findings
and observations as set forth under item 4 - Programme Activities (paragraphs 2-5/
pages 6Ь-80, of tl^s report). Its findings and observations regarding the proposed
establishment of a fourth post sif Assistant Director-General are set forth under
itero 4.1 - Offices of the Assistant Directors-General (paragraphs 1 and 2, pages 88-90,
of this report), and those relating to 0 ) above are given under item 4.8 - Environraenta：
Sanitation (page 102 of this report).
EB25/AP/3 page 172
9, Other Matters Studied by the Committee
9.1 Proposed Appropriation Resolution for the Financial Year i960
9*1,1 The Coiranittee noted that the text of the Appropriation Resolution proposed
by the Director-General for the financial year i960 differed from that of the
Appropriation Resolution for 1959 and previous years. Thus, the Committee noted
that in paragraph I it was proposed that the former Appropriation Sections 4 -
Central Technical Services, and 5 - Advisory Services, should be replaced by a
new Appropriation Section 4 - Programme Activities; that the former Appropriation
Section б - Regional Offices and 7 - Expert Committees, should be renumbered
Appropriation Sections 5 - Regional Offices, and. 6 - Expert Committees; and. that
two new Appropriation Sections 7 and 9 - Other Statutory Staff Costs be included.
In the text of Paragraph III of the proposed Appropriation Resolution, there was
Included amongst the amounts to be deducted from the total estimates in order to
arrive at the assessments on Members
11 (i) the amount of $ available by reimbursement from the
Special Accottnt of thé Expanded Programme of Technical Assistance."
In other respects the text of the proposed Appropriation Resolution for i960 was
identical with that adopted by the Eleventh World Health Assembly for 1959•
9.1.2 The Conanittee was informed that the proposed new Appropriation Section
斗-Programme Activities followed logically upon the changes in the organizational
structure of the Secretariat referred to in Chapter IV, Part II and which the
Committee decided to refer for the consideration of the Board. The rentimbering
of the former Appropriation Sections 6 aud 7 as Appropriation Sections 5 - Regional
Offices and б - Expert Committees was consequential to the proposed replacement of
the former Appropriation Sections 4 and 5 by one new Appropriation Section 4 -
Programme Activities.
9.1.3 With regard to the proposed new Appropriation Section 7 - Other Statutory
Staff Costs, within which provision would be made for the statutory costs other
than salaries of all staff members covered by the proposed new Appropriation Sectiôn
4 - Programme Activities and Appropriation Section 5 - Regional Offices, the Conenittee
EBS3/AP/3 page 17)
was informed that the change proposed was in keeping with the practice followed by
some other international organizations. This would make it possible to show
separately the total costs for staff members whose salary costs were provided
for under the appropriation sections under which their employment was authorized,
and should tend to facilitate the examination of the estimates. The Committee also
noted that the same considerations would apply to the proposed new Appropriation
Section 9 - Other Statutory Staff Costs within which provision would be made for
the statutory costs other than salaries of staff provided for under Appropriation
Section 8 - Administrative Services.
9.1Л Regarding the inclusion in paragraph 1工1_« amongst the items to be deducted
from the amount appropriated under paragraph I, of an amount "available by reinfcurse
ment from the Special Account of the Expanded Programme of Technical Assistance"
the Committee's attention was called to the decision taken by the Economic and
Social Council in July 1958 to request organizations participating in the Expanded
Programme of Technical Assistance to take, as soon as possible, whatever steps mi¿Kt
be necessary to permit:
(a) the consolidation in the regular budgets of the participating
organizations of all administrative and operational services expenses;
(b) the consolidated review of these.expenses by the legislative
bodies of the participating organizations.
Pursuant to the request referred to at (a) above, the administrative and operational
services costs of the Expanded Programme of Technical Assistance, incurred at
Headquarters and in regional offices, have been merged with the estimates under
the regular budget. The Economic and Social Council also requested the Technical
Assistance Board to present to the Technical Assistance Conmittee for approval
lump-sum amounts for allocation to the participating organizations in 1959 "which
amounts shall not exceed and shall preferably be less than the amounts allocated for
1958 toward the Expanded Programme's administrative and operational services costs*,
For subsequent years, the Council requested the Board, in preparing estimates for
the approval of the Technical Assistance Committee, not to exceed the 1959 ceilings
for lump-sura payments "unless the allocation for project costs proposed for any
World Health Assembly Executive Board and its Committees Regional Committees
Appropriation Section Purpose of appropriation
i' PART I: ORGANIZATIONAL MEETINGS
Amount US $
EB2VAP/5 pr.ge 17^
participating organization shall vr.ry by more than 10 per cent, from the allocation
f o r the same purpose for the year 1959”. As a consequence of the decision of the
E c o n o m i c and Social Council it is expected that a lump-sum allocation towards these
costs, which have been merged with the estimates under the regular budget, will
become available in i960 by reimbursement from the Special Account of the Expanded
Programme of Technical Assistance.
9.X.5 in the course of its study of the text of the Appropriation Resolution
proposed by the Director-General for I960, the Committee also took account of a
request by the Executive Board that there be added to the proposed resolution the
following paragraphs
"Notwithstanding the provision of the Financial Regulations, the Director-
General is authorized to charge as an obligation against the i960 appropriation
the entire costs relating to short-term consultants whose period of assignment
may not have been completed by the end of the fiscal year/
9.1.6 As a result of its considerations the Coimnittee found the format of the
proposed appropriation resolution, as amended, satisfactory. It therefore decided
to advise the Executive Board that it reeotrnnend to the Twelfth World Health Assembly
the adoption of the text of the proposed appropriation resolution for i960, as
amended, reading as follows:
The Twelfth World Health Assembly
RESOLVES to appropriate for the financial year 19^0 an amount of
US $ as follows:
12 3
Total • Part I
EB23/AF/^ page 175
PART II: OPERATING PROGRAMME
Programme Activities Regional Offices Expert Committees Other Statutory Staff Costs
Total - Part II
Appropriation Amount Section Purpose of appropriation US $
РАНГ Ills ADMINISTRATIVE SERVICES
8 Administrative Servicos
9 Other Statutory Staff Costs
Total - Part III
Sub-Total - Parts I, II sx\d III
РАНГ IVï RESERVE
10 Undistributed Reserve
Total - Part IV
TOTAL • ALL PARTS
雄ЯВЯК : •' íTrS8SSS8B
II. Amounts not exceeding the appropriation voted under paragraph I shall be
available for the payment of obligations incurred during the period 1 January to
December i960 in accordance with the provisions of the Financial Regulations.
Notwithstanding the provisions of this paragraph, the Director-General shall
limit the obligations to be incurred during the financial year i960 to the effective
working budget established by the World Health Assembly, i.e. Parts I, II and III.
III. appropriation voted under paragraph I shall be financed by contributions
4 5
6 7
from Members after deduction of:
EB23/AF/3 ‘ page 176
⑴ the amount of $ available by reimbursement from the Special ‘ Account of the Expanded Programme of Technical
Assistance
(ii) the amount of $ representing assessments on new Members from previous years
(iii) the amount of $ representing miscellaneous income available for the purpose
(iv) the amount of $ available by transfer from the cash portion of the Assembly Suspense Account
(v) the amount of $ available by transfer from the Publications Revolving Fund
$
thus resulting in assessments against Members of $
IV. The Director-General is authorized, with the prior concurrence of the
Executive Board or of any committee to which it may delegate appropriate authority,
to transfer credits between sections.
V . When the Executive Board or any committee to which it may have delegated
appropriate authority is not in session, the Director-General is authorized, with
the prior written concurrence of the majority of the members of the Board or such
committee, to transfer credits between sections. The Director-General shall report
such transfers to the Executive Board at its next session.
VI. Notwithstanding the provisions of the Financial Regulations, the Director-
General is authorized to charge as an obligation against the i960 appropriations
the costs, including transportation, of operational supplies and equipment for which
contracts have been entered into prior to 31 December i960.
VII. In respect of .the printing of publications, the Director-General is authorized
notwithstanding the provisions of the Financial Regulations, to charge as an ‘
obligation against the i960 appropriation the cost of publications for which complete
manuscripts shall have been delivered to and received by the printer prior to
51 December i960.
EB23/AF/^ page 177
VIII• Notwithstanding the provisions of the Financial Regulations, the Director-
General is authorized to charge as an obligation against the i960 appropriation
the entire costs relating to short-term consultants whose period of assignment
may not have been completed by the end of the fiscal yearê
9.2 Working Capital Fund Resolution
9,2.1 Under its terms of reference, the Committee is required to examine the
text of the Working Capital Fund Resolution. Pursuant to resolution ЕВ17.ДЗ斗，
the Director-General had submitted to the Executive Board a report on the scale
of assessments for and the amount of the Working Capital Fund. Since the proposals
contained in this report would have implications for the text of the Working Capital
Fund Resolution, the Director-General had included a proposed text in his report
rather than in the budget volume• The Executive Board referred the report to the
Committee for its consideration and recommendations^
9-2.2 The Committee's findings are contained in a separate report being submitted
to the Executive Board on this matter.
9«2.5 Consequential to its recommendations in that report, the Committee decided
to recommend no change in the text of the Working Capital Fund Resolution as
compared with, that adopted by the Eleventh World Health Assembly (WHA11.12) except
for the inclusion of an additional purpose for which the Fund may be used, as
recommended by the Director-General. To permit of the purchase of emergency supplies
for Member States on a reimbursable basis, the Director-General had requested
authority, in the interest of speedy and efficient action, to meet public health
emergencies, to use the Fund for such purpose, provided that the amount be limited
to $ 100 000 at any one time and to $ 25 000 in respect of any individual Member•
Consequently, the Committee decided to recommend to the Board that it adopt the
following resolution;
"The Executive Board,
Having considered the text of the proposed Working Capital Fund
Resolution,
EB23/AF/ page 178
Noting that there is a need for the Director-General to be authorized
to advance amounts from the Working Capital Fund to permit the purchase of
emergency supplies to be furnished to Member States on a reimbursable basis,
RECOMMENDS to the Twelfth World Health Assembly that it adopt the
following resolution:
"The Twelfth World Health Assembly
1 # RESOLVES that the Working Capital Fund for the membership of
the Organization as at ；50 April 1959 be established for i960 in
the amount of US $ 1 plus the assessments on Members joining
after 30 April 1959；
2, AUTHORIZES the Director-General
(1) to advance from the Working Capital Fund such funds
as may be necessary to finance the annual appropriations for
the financial year i960 pending receipt of contributions from .
Members; sums so advanced shall be reimbursed to the Working
Capital Fund as contributions shall become available^
(2) to advance such sums as may be necessary to meet un-
foreseen or extraordinary expenses and to increase the
relevant appropriation sections accordingly provided that
not more than US $ 250 000 is used for such purposes, except
that with the prior concurrence of the Executive Board a total
of US $ 500 000 may be so used; and
O ) to advance such sums as may be necessary for the provision
of emergency supplies to Member States on a reimbursable basis;
sums so advanced shall be reimbursed to the Working Capital
Fund when payments a^e received from the Member States; provided
that the total amount so withdrawn shall not exceed US $ 100 000
at any one time; and provided further that the credit extended
to any one Member shall not exceed $ 25 000 at any one time»
1 _ The amount as at 31 December 1958 was $ 3 402 525, which amount may
be revised by 30 April 1959.
EB23/AF/3 page 179
REQUESTS the Director-General to report to the next regular
session of the Health Assembly
(1) all advances made under the authority vested in him
to meet unforeseen or extraordinary expenses and the circum-
stances relating thereto, and to make provision in the
estimates for the reimbursement of the Working Capital Fund
except when such advances are recoverable from other sources;
and
(2) all advances made under the authority of paragraph 2 (3)
for the provision of emergency supplies to Member States
together with the status of reimbursement by Members."
JOINTLY-ASSISTED UNICEP/WHO PROJECTS1 INCLUDED IN THE PROPOSED PROGRAMME AND BUDGET ESTIMATES FOR I960
1. Estimated costs In 1958，1959 and i960 under the Regular Budget，the Expanded Programme of Technical Assistance (Category I) and the Malaria Eradication Special Account
EXPANDED PROGRAMME OP MALA. RIA ERADICAa ION
PROJECTS
RBGUIAH FUNDS TECHNICAL ASSISTANCE SP E9CIAL ACCOUNT
1958 1959 I960 I958 1959 i960 1958 1959 I960
AFRICA
French Africa (various territories)
Malaria; Surveillance and Entomological Research Malaria; Assistance to Pre-eradication Operations
11 У20 26 078 10 922
3 1 1 2 7 13 546
20 200 25 880 23 0)7
French West Africa
Malaria; Assistance to Pre-eradication Operations
Yaws control 2 000 3 000 5 000 2 500
Gambia
Training of Nursing and Auxiliary Personnel Nutrition Survey and Control of Deficiency Diseases
8 000 15 911 24 245
Ghana
Malaria Pilot Project #
Maternal and Child Health Services 10 927 17 730 17 825 28 121
Kenya
ТВ Chemotherapy Pilot Scheme Maternal and Child Health Services 3 150 5 ООО 9 460
54 020 iio 000 51 991
Liberia
Malaria; Assistance to Pre-eradication Operations ! 61 520 807 52 355 19 500 23 645 24 827
Nigeria
Malaria; Assistance to Pre-eradication Operations ТВ Chemotherapy and Control Pilot Project* Yaws Control Leprosy Control
丨 50 650 5 750
65 006 1 900
69 723 47 1)1
1 500
) ) 2 0 8 36 800 )9 511
1 including projects for which UNICEF may later be requested to provide supplies and equipment (such projects are asterisked)
Appendix. 6 ‘ page 3
FUNDS E3CPAN DED PROGRAMM E OP MAIARIA ERADICATION PROJECTS TECHNICAL ASSISTANCE SPECIAL ACCOUNT
1958 1959 I960 1958 1959 I960 I958 1959 I960
AFRICA (continued)
Sierra Leone
Yaws Control 25 2^0 16 929 19 503 Leprosy Control 2 900
19 503
Uganda *
Malaria; Assistance to Pre-eradlcation Operations 20 400 28 992 35 417
Zanzibar
Malaria; Assistance to Pre-eradlcation Operations 荈 7 6 5 ^00 H 028 19 010 18 718 12 046 Training of Auxiliary Personnel 14 470 9 201 11 849
19 010 18 718
Total - AFRICA ДЛ1 450 145 605 226 513 190 75) 200 155 282 854 58 710 75 243 62 410
THE AMERICAS
Argentina
Public Health Services ^ 375 37 094 49 705
Bolivia
Malaria Eradication 1) 849 13 235 11 266
Brazil
Public Health Services 8 885 10 683 13 7^5
British Honduras
Public Health Services 12 800 10 26 802
Colonbla
Malaria Eradication 17 241 Leprosy Control 11 532 8 434 11 188 Public Health Services 81 436 52 613 38 551
Ecuador
Malaria Eradication
• 25 072
1
19 902
i 25 608
Appendix. 6 ‘ page 3
EXPANDED PRÛOMMME OP MALARIA RRATVTPATTfrtl ОТЭЛ TtJ/tfnC!
RE GULAR FUNDS TBCH NICAL ASSISTi ШСБ
raujfuvut JQHVU/XVMXX XV/M SPECIAL ACCOUNT Jt nUüiSUlb
1958 1959 I960 1958 1959 i960 I958 1959 I960
THE AMERICAS (continued)
El Salvador
Malaria Eradication #
Health Demonstration Area 23 » 6 36 112
12
17 05林 25 18 764
Guatemala
Malaria Eradication Tuberculosis Control Public Health Services 47 377 57 811 61 664
15 252 II.603
17 890 10 010
20 615 11 537
Haiti
Malaria Eradication 19 З19 11 27 斗 14 894
Honduras
Malaria Eradication BCG Vaccination Public Health Services
vo ir\ о» 16 183
У^ 817
1 9 赂
42 581
Mexico
Malaria Eradication Integrated Health Services National Institute of Nutrition
51 200 57 1吣 69 767 52 351
k 465
42 500 46 336
Nicaragua
Malaria Eradication BCG Vaccination*
4 923 500
Panama
Malaria Eradication Public Health Services
19 779 71 460
16 озо 56 870
19 997 56 469
Paraguay
Malaria Eradication Public Health Services
12 435 63 550
19 2-52
59
22 791 64 557
Peru
Malaria Eradication * Public Health Services
20 812 55 241
15 469 36 131
20 ^85 226
Appendix 1
PROJECTS REOUIAR FUNDS
EXPANDED PROGRAMME OP
TECHNICAL ASSISTANCE miARIA ERADICATION
SPECIAL ACCOUNT
1958 1959 I960 1958 195夕 i960 1958 1959 I960
THE AMERICAS (continued)
Inter4Jountry Progrannes
Environmental Sanitation (Caribbean) 27 001 22 661 23 471
Total - THE AMERICAS 120 262 1^6 07林 171 978 697 634 519 813 600 125
SOUTH-EAST ASIA
Af^ianlstan
Malaria; Assistance to Eradication
Rural Health Unit, Chaurassia
Maternal and Child Health, Kabul
1 100 27 980 10 820
站 Щ 52 522 48 56О 56 202 64 726
Burma
Malaria; Assistance to Eradication
ТВ Country Adviser and Lecturer
Leprosy Control 3 750
57 810 150
^o 927
9 Ю 855 19 629
19 857 20 079
Ceylon
Rural Health Development^ Kalutara •
Organization of Paedlatrlc Teaching and Services
Environmental Sanitation
5 900 22 596 21 300
26 100
18 711
24 559 23 159
India
National Tuberculosis Control Programme Trachoma Pilot Project Rehabilitation Centre, Bombay Paedlatrlc Education Aselstance to the Upgraded Department of Paediatrics«
Madras Medical College Assistance to the Upgraded Department of Paediatrics
of three Medical Colleges, Bombay Aesletance to Paedlatrlc Department^ Osmazil Medical
College, Hyderabad Teaching of Professors In Preventive and Social
Medicine*
15
10 140
22 190
3 900
5 200
13 396
29 479
42 9Ю
26 355
4 969
31 406
19 899
27 197
11 ^00
3 220
14 6^0
(
30 ООО
9 289
27 96o
•
11) 132
10 344
29 916
•
Appendix. 6 ‘ page 3
R] EXWLAR FUNDS EXPAM DED PROGRAMM] E OP МАТЛИТА РРАПТПАФТЛМ
PROJECTS R] EXWLAR FUNDS
TECHN ICAL ASSISTA] ЯСЕ pjnjjuruJl JUvuJXVÂfiX
SFBCIAL АССОШТ
1958 1959 I960 I958 1959 I960 1958 1959 i960
SOlfTH-EAST ASIA (continued)
Indonesia ¡ 1
Yaws Control Leprosy Control Trachoma Control
22 230 I 18 233 19 480 43 520.
12 900
10 387
ДЛ 202
5 935
13 129
Thailand
ТВ Survey and Control* Treponematosis (yaws) Control Leprosy Control Preeze-dried Smallpox Vaccine
17 Ш 3 600
16 514 27 416
8 640 20 070
29 021 20
48 778 45 817
Total - SOUTH-EAST ASIA 104 190 150 785 152 963 259 450 285 998 417 336 48 560 76 059 84 805
EUROPE
Austria
Care of Premature Infants 2 500 2 500 1 500
Prance
Communicable Eye Diseases 4 950 4 ООО 5 472
Greece #
Communicable Eye Diseases Rehabilitation of Handicapped Children Health Demonstration Area*
4 ¿Ю0 1 300 2 000
2 500
1 825
9 815
3 320
10 560
Italy #
Care of Premature Infants 500 1 500
Morocco
VD Control Communicable Eye Diseases Control Maternal and Child Health Services
3 650 550
1 000
5 772 7 519
6 925 12 105
Poland
Maternal and Child Health Services 4 100 4 800
t
74 575 98 156
26 690 26 300
2 3 3 8 斗
2 3 5 枓
9 169 21 7恥
3 560
15 201 12 289
MAIARIA SPECIAL АССООМГ
1958 1959 I960
35 085
35 08)
28 460 67 9^2 58 7 5
Appendix. 6 ‘ page 3
(continued)
Control Rehabilitation of Handicapped Children Care of Premature Infante
Turkey
Malaria; Assistance to Eradication Tuberculosle Control
Control Child Health Training Cent
Yugoslavia
Tuberculosis Control Coonunicable Eye Diseases Control Réhabilitation of Handicapped Children Maternal and Child Health Services Care of Premature Infants
Inter-Coimtry Progrannee
International
Total
MEDITERRANEAN
Training and Maternal and Child Health Services nal and Child Health Services
Ethiopia
to Pre-eradlcation Operations Halarla; VD Control Leprosy Control Coonunicable Eye Diseases Control Public Health College and Training Centre, Maternal and Child Health Trainings
1958
1 000
130
22 530
5 100 78 390
1959 I960
5 700 3 100
14 000 1 林 ООО
26 300 25 800
3 900 3 900
12 015 68 423
2 ) 985 50 756
i960
6 890
4 722
2 450 5 225 3 675
10 651
6 202 4 903 4 852
5 7 0 2
斗7 0 2
L959
2 445
2 ООО
3 675
3 6 7 5
8 261
9 853 5 883 4 852 5 907 3 500
1958
5 900
3 200
5 500 11 850
) 5 6 0 700
11 815 5 ЮО
Appendix
HE 3GKXLAR PONDS expanded programme OF NAIABIâ ERADICATION
PROJECTS TECHNICAL ASSISTANCE SJEOCIAL АССОШГ
1958 1959 I960 1958 1959 I960 1958 1959 I960
EASTERN MEDHEHRAMEAN (continued)
Iran
Malaria; Assistance to Bradlcatlon VD Control #
Comunicable Eye Diseases Control ИСН Démonstration and Training Centre
20 69O
25 480 5 ООО
57 600 • 107 630 99 067
Iraq
Malaria; Assistance to Eradication * MCH Demonstration and Training Centre
37 780 13 810
56 296 yj 290 19 588 35 107 29 784
Jordan
Malaria; Assistance to Eradication Tuberculosis Control* CoBDunlcable Eye Diseases Control* HCH Denonstratlon and Training Centre
4 500 28 240
28 090
11 639 25 655 9 992
10 000
11 953
18 242 11 962
14 650 7 462 5 5X3
Lebanon
Malaria; Assistance to Eradication Rural Health üinlt* Midwifery School*
11 63О 27 861 3 000
27 070 6 025
2 ООО 16 150 12 907
Libya
Malaria; Pre*>er&dlcatlon Survey and Assistance to Eradication*
MCH Demonstration and Training Centre 23 950 25 333 15 220 18 860 25 642 12 855
Pakistan
Tuberculosis Control (BCO) Tuberculosis Survey* Children's Hospltalj, Karachi
19 500 10 000 21 000
)林 892 25 4 ©
刃7 16 492
Sonalla
Kalarlaj Pre-eradlcation Survey and Assistance to Sradlcatlon
Tuberculosis Control 11 967
二 .
25 702 19 250 13 219
Appendix. 6 ‘ page 3
EIPANDED PROGRAMME OP МШШ1А ERADICATION
PROJECTS TECHNICAL ASSISTANCE SPECIAL ACCOUNT
1958 1959 i960 1958 1959 i960 1958 1959 I960
EASTERN MEDITERRANEAN (continued)
SUDAN
Malaria; Assistance to Pre-eradieatlon Operations Tuberculosis Control (BCG)* VD Control 朞 Совпяш1саЫе Eye Diseases Control Nurslog Education, Khartoum
1 1 7 0 0 5 500
39 8^0
11 6O8 12 174
39 845
13 987
^ 551
39 250 32 402 24 827
14 419
2 700 6 000 55 595
Malaria; Pre-eradication Survey and Assistance to
Eradication* ТВ Chemotherapy Pilot Project Comunicable Eye Diseases Control #
37 048 31 斗19 59 O8O 2 500
15 017
3 493
22 I89
3 493
31 290 144 7*9 116 TO
NCH Demonstration and Training Centre EnvlroomentAl SanltAtlon*
18 002 9 604
22 552 10 171
United Arab Republic (Ssypt)
Malaria; Pre-eradlcatlon Survey and Assistance to
Eradication* Comnunlcable Eye Diseases Control Hl^ier Inetltufe of Public Health, Alexandria 23 025 28 415 32 206
3 000 9 伤
27 700 60 925 21 509
United Arab Republic (Syria)
Malafla; Assistance to Eradication 29 620 25 895 25 077 25 68O 22 452 IT 116
Inter-Country Programmes
Regional ТВ Survey Team 51 118 76 325
Total - EASTERN MEDITERRANEAN 289 595 586 5^6 375 468 505 070 272 271 275 244 2^7 778 507 278 429 822
WESTERN PACIFIC
Caoibodla
MCH Demonstration and Training Centre
•
20 320 26 741
m
2 9 ) 9 4
RBOUTAR FtTNI is BXPANESD FROaRAIMB OP NAIABIA ERADICATION
PROJECTS TBCHNICÂL ASSISTANCE SFBCIAL ЮС0ШКГ
1958 1959 i960 I958 1959 I960 1958 1959 I960
VESTERH PACIFIC (continued)
China
YD Control Trachoma Control NCH Demonstration and Training Centre
13 23О 17 108 8 050 4 280
14 2Ô0 ü 381 8 992
11 581 8 832
Netherlands New Oulnea
Malaria
North Borneo
Malaria Pilot Project
斗400
27 170 25 735 29 875
Philippines
Leprosy Control 5 500
Viet Nam 朞
MCH Demonstration and Training Centre
Inter4!ountry Progrannes
Yaws Control 35 040 44 572 44 387
>5 960 51 987 66 880
Total - WESTERN PACIFIC 58 170 61 680 52 437 102 210 115 854 146 380
GRAND TOTAL
Less delays for implementation of new projects
NET TOTAL
736 197
756 197
906 992
6 767
900 225
1 005 159
2 086
1 003 075
l 629 692 1 471 053 1 820 075 355 656 580 612 120
2. Зшяишгуэ showing aleo the total amounts for supplies êad equipnent idilch the UNICKP toecutlva Board baa allocated or —y be rewgtad to allocate
RBQUIAR BUDQET BCPANEED ИЮОШМВ OP MALARIA ERADICATIOH Total amoimts which the UNICEF Bxacutlv» Board has allocated RBQUIAR BUDQET TECHNICAL АЗЗШГАЖЛ SFBCIAL ACCOUNT or nay bo requested to allocate for suppllee and equipBMit
1958 1959 I960 I958 1959 I960 I958 1959 i960 1958 1959 I960
ProJ«et« for lAiloh UVICSF my bé r«quMt«d to prorld* suppIlM and «qulpaent (mrk«á with an •) 60 160 81 292 150 708 195 463 2Ô2 904 339 7Ю 77 850 231 316 151 095 92 000 3 802 500 n 705 700
Jolntlj-aesleted UMICBP/WHO projects for whlah th« Ъла allocated ftinda for suppllM and equlpoMzit 676 057 818 933 852 365 1 W 229 1 188 149 1 48o 365 277 198 425 264 461 025 16 115 508 10 795 800 5 725 500
WTAL 756 197 900 225 1 005 075 1 629 692 1 471 053 1 820 075 555 048 656 380 612 120 16 207 508 14 598 100 15 431 200 WTAL
APPENDIX 2
REGIONAL OFFICES AND FIELD ACTIVITIES: NUMBER OP POSTS AND ESTIMATED NET EXPENDITURE IN 1958, 1959 AND i960 UNDER THE REGULAR BUDGET THE EXPANDED PROGRAMME OF TECHNICAL ASSISTANCE (CATEGORY I), THE MALARIA ERADICATION SPECIAL ACCOUNT AND OTHER EXTRA BUDGETARY FUNDS, BY REGIONS
Regular Budget Expanded Programme of Technical. Assistance Malaria Eradication Special Аслош-t . . No. of Posts j Estimated Expenditure No. of Posts . [ Estimated Expenditure.. No. of. Posts Estimated Expenditure 1950 59 60 1958 1959 ¡ I960 1958 59 ,60 .丨.1958 丨 1959. .! I960. í 1958 59 60 ！ 1958 • ； 1959 ‘ I960
AFRICA -"‘Regional "Office
Field Activities
AMERICAS Regional Office Field Activities
SOUTH-EAST ASIA Regional Office Field Activities
EUROPE Regional Office Field Activities
EASTERN MEDITERRANEAN Regional Office Field Activities
WESTERN PACIFIC Regional Office Field Activities
ROTATIONAL ADMINISTRA-TION AND FINANCE STAFF
INTER-REGIONAL AND OTHER ACTIVITIES
TOTAL Regional Office Field Activities
GRAND TOTAL
3 6 38 40 41 59 68'
2 8 2 940 727 096
I
丨 323 5 8 6
j 8)5 833
! 338 I8Q
9 8 4 боб 6 9 72 8 2
1 1 i ！ “ ^ i
6 7 2 7 5 3
！ ‘ - . j í
6 6 6 140¡ 801 284 1 2 2
8 24 52
-i— i . . • •“
‘)549 丨 1 ) 5 9 8 6
• , ；
10 559 I 10 643 459 259 . 1 041 330
AFRICA -"‘Regional "Office
Field Activities
AMERICAS Regional Office Field Activities
SOUTH-EAST ASIA Regional Office Field Activities
EUROPE Regional Office Field Activities
EASTERN MEDITERRANEAN Regional Office Field Activities
WESTERN PACIFIC Regional Office Field Activities
ROTATIONAL ADMINISTRA-TION AND FINANCE STAFF
INTER-REGIONAL AND OTHER ACTIVITIES
TOTAL Regional Office Field Activities
GRAND TOTAL
77 97 108 丨 1 010 озб ......,... ！ 1 159 419 l 322 795 69 7 2 . 82 672 753 666 1401 ‘801 284 9 26' 54
1
1 139 535 469 818 1 051 973
AFRICA -"‘Regional "Office
Field Activities
AMERICAS Regional Office Field Activities
SOUTH-EAST ASIA Regional Office Field Activities
EUROPE Regional Office Field Activities
EASTERN MEDITERRANEAN Regional Office Field Activities
WESTERN PACIFIC Regional Office Field Activities
ROTATIONAL ADMINISTRA-TION AND FINANCE STAFF
INTER-REGIONAL AND OTHER ACTIVITIES
TOTAL Regional Office Field Activities
GRAND TOTAL
〇仁
：
U1 U1 •
СТ
Ч V
Jl
M
509 600 1 075 950
1 . 丨 539 405
1 1)6 777
5бб 631 1 217 9бо 106 钟 92 1 170 1 0 0
！
! i 982 986¡ 1 083 489
1 1 1 i -
丨 2 146 8 802 10 259
AFRICA -"‘Regional "Office
Field Activities
AMERICAS Regional Office Field Activities
SOUTH-EAST ASIA Regional Office Field Activities
EUROPE Regional Office Field Activities
EASTERN MEDITERRANEAN Regional Office Field Activities
WESTERN PACIFIC Regional Office Field Activities
ROTATIONAL ADMINISTRA-TION AND FINANCE STAFF
INTER-REGIONAL AND OTHER ACTIVITIES
TOTAL Regional Office Field Activities
GRAND TOTAL
114 ‘ 114 116 1 585 550 1'6?6 182 i l 784 591 10б 钟 92 1 170 100丨 9S2 986 Í • I
1 083 489 1 1 1 2 146 8 802 10 259
AFRICA -"‘Regional "Office
Field Activities
AMERICAS Regional Office Field Activities
SOUTH-EAST ASIA Regional Office Field Activities
EUROPE Regional Office Field Activities
EASTERN MEDITERRANEAN Regional Office Field Activities
WESTERN PACIFIC Regional Office Field Activities
ROTATIONAL ADMINISTRA-TION AND FINANCE STAFF
INTER-REGIONAL AND OTHER ACTIVITIES
TOTAL Regional Office Field Activities
GRAND TOTAL
74 74 74 110 118 122
293 310 1 089 710
300 521 1 204 066
321 35斗 1 276 153 135 151 1бО
• , . 1 309 790
. )
!
1 246 631 1 413 534 -15 15 15 19 82 84
! 14 120
2 020 520 35 631
1 020 687 36 753
953 676
AFRICA -"‘Regional "Office
Field Activities
AMERICAS Regional Office Field Activities
SOUTH-EAST ASIA Regional Office Field Activities
EUROPE Regional Office Field Activities
EASTERN MEDITERRANEAN Regional Office Field Activities
WESTERN PACIFIC Regional Office Field Activities
ROTATIONAL ADMINISTRA-TION AND FINANCE STAFF
INTER-REGIONAL AND OTHER ACTIVITIES
TOTAL Regional Office Field Activities
GRAND TOTAL
184 192 196 1 奶 020 I 504 587 1 597 507 135 151 1бО 1 309 790 1 246 63I 1 413 53斗 34 97 99 2 0)4 640 1 056 318 990 429
AFRICA -"‘Regional "Office
Field Activities
AMERICAS Regional Office Field Activities
SOUTH-EAST ASIA Regional Office Field Activities
EUROPE Regional Office Field Activities
EASTERN MEDITERRANEAN Regional Office Field Activities
WESTERN PACIFIC Regional Office Field Activities
ROTATIONAL ADMINISTRA-TION AND FINANCE STAFF
INTER-REGIONAL AND OTHER ACTIVITIES
TOTAL Regional Office Field Activities
GRAND TOTAL
60 6l 61 25 29 30
259 896 496^
375 071 996 681
373 350 1 075 0^6 25 32 42 224 5Ю 276 117 317 286
1 1 1 5 12 6
967 36 019
1 980 1 313 900
2 089 868 Л67
AFRICA -"‘Regional "Office
Field Activities
AMERICAS Regional Office Field Activities
SOUTH-EAST ASIA Regional Office Field Activities
EUROPE Regional Office Field Activities
EASTERN MEDITERRANEAN Regional Office Field Activities
WESTERN PACIFIC Regional Office Field Activities
ROTATIONAL ADMINISTRA-TION AND FINANCE STAFF
INTER-REGIONAL AND OTHER ACTIVITIES
TOTAL Regional Office Field Activities
GRAND TOTAL
85 90 91 1 238 755 Т371 752 1 m 386 25 32' 42 224 510 276 117 317 286 л 6 '13 7 36 986 1 315 880 870 556
AFRICA -"‘Regional "Office
Field Activities
AMERICAS Regional Office Field Activities
SOUTH-EAST ASIA Regional Office Field Activities
EUROPE Regional Office Field Activities
EASTERN MEDITERRANEAN Regional Office Field Activities
WESTERN PACIFIC Regional Office Field Activities
ROTATIONAL ADMINISTRA-TION AND FINANCE STAFF
INTER-REGIONAL AND OTHER ACTIVITIES
TOTAL Regional Office Field Activities
GRAND TOTAL
6l 62 63 100 ill 105
322 288 1 217 809
预 8 8 1 1 305 017
348 383 1 595 649 103 101 108 1 003 770 907 斗 2 6 1 028 30?
11 11 11 23 45 35
14 400 335 424
39 529 1 078 866
37 298 1 067 712
AFRICA -"‘Regional "Office
Field Activities
AMERICAS Regional Office Field Activities
SOUTH-EAST ASIA Regional Office Field Activities
EUROPE Regional Office Field Activities
EASTERN MEDITERRANEAN Regional Office Field Activities
WESTERN PACIFIC Regional Office Field Activities
ROTATIONAL ADMINISTRA-TION AND FINANCE STAFF
INTER-REGIONAL AND OTHER ACTIVITIES
TOTAL Regional Office Field Activities
GRAND TOTAL
161 173 168 1 5^0 097 1 641 898 l 7^4 0)2 103 101 108 1 003 770 907 426 1 0.28 3。7 5 6 46 3马9 824 1 118 695 1 105 010
AFRICA -"‘Regional "Office
Field Activities
AMERICAS Regional Office Field Activities
SOUTH-EAST ASIA Regional Office Field Activities
EUROPE Regional Office Field Activities
EASTERN MEDITERRANEAN Regional Office Field Activities
WESTERN PACIFIC Regional Office Field Activities
ROTATIONAL ADMINISTRA-TION AND FINANCE STAFF
INTER-REGIONAL AND OTHER ACTIVITIES
TOTAL Regional Office Field Activities
GRAND TOTAL
VJl Ln
M
VJl
VJl
395 350 770 024
407 566 915 562
4l8 069 1 038 436
• .. •
‘
55 52 56 620 720 621 917 7^9 517 8 8 8 9 18 16
17 295 519 610
42 313 9)6 990
he 020 1 481 456
AFRICA -"‘Regional "Office
Field Activities
AMERICAS Regional Office Field Activities
SOUTH-EAST ASIA Regional Office Field Activities
EUROPE Regional Office Field Activities
EASTERN MEDITERRANEAN Regional Office Field Activities
WESTERN PACIFIC Regional Office Field Activities
ROTATIONAL ADMINISTRA-TION AND FINANCE STAFF
INTER-REGIONAL AND OTHER ACTIVITIES
TOTAL Regional Office Field Activities
GRAND TOTAL
108 110 112 一 .i.丨
1 165 374 ,.1 322 928 1 456 505 55 52 56 j 620 720 621 917 7^9 517 17 26 24 5)6 905 979 303 1 527 476
AFRICA -"‘Regional "Office
Field Activities
AMERICAS Regional Office Field Activities
SOUTH-EAST ASIA Regional Office Field Activities
EUROPE Regional Office Field Activities
EASTERN MEDITERRANEAN Regional Office Field Activities
WESTERN PACIFIC Regional Office Field Activities
ROTATIONAL ADMINISTRA-TION AND FINANCE STAFF
INTER-REGIONAL AND OTHER ACTIVITIES
TOTAL Regional Office Field Activities
GRAND TOTAL
4 4 4' 18 700 577 5 5 糊
AFRICA -"‘Regional "Office
Field Activities
AMERICAS Regional Office Field Activities
SOUTH-EAST ASIA Regional Office Field Activities
EUROPE Regional Office Field Activities
EASTERN MEDITERRANEAN Regional Office Field Activities
WESTERN PACIFIC Regional Office Field Activities
ROTATIONAL ADMINISTRA-TION AND FINANCE STAFF
INTER-REGIONAL AND OTHER ACTIVITIES
TOTAL Regional Office Field Activities
GRAND TOTAL
4 4 ‘ 4 18 700 44 577 '55 448 —
•
Í ‘ i
AFRICA -"‘Regional "Office
Field Activities
AMERICAS Regional Office Field Activities
SOUTH-EAST ASIA Regional Office Field Activities
EUROPE Regional Office Field Activities
EASTERN MEDITERRANEAN Regional Office Field Activities
WESTERN PACIFIC Regional Office Field Activities
ROTATIONAL ADMINISTRA-TION AND FINANCE STAFF
INTER-REGIONAL AND OTHER ACTIVITIES
TOTAL Regional Office Field Activities
GRAND TOTAL
27 32 493 350 536 484 587 558 - 2 2 45 ООО 31 127
1 1 1 113 46o 5 55 35 ！
‘
538 270 726 孓4) 1 170
AFRICA -"‘Regional "Office
Field Activities
AMERICAS Regional Office Field Activities
SOUTH-EAST ASIA Regional Office Field Activities
EUROPE Regional Office Field Activities
EASTERN MEDITERRANEAN Regional Office Field Activities
WESTERN PACIFIC Regional Office Field Activities
ROTATIONAL ADMINISTRA-TION AND FINANCE STAFF
INTER-REGIONAL AND OTHER ACTIVITIES
TOTAL Regional Office Field Activities
GRAND TOTAL
27 32 34; ‘ 493 350 536 484 587 558 - 2 . 2 45 ООО 31 127 j 1 1 3 460 i 5 55 35 j 538 270 726 1 331 170
AFRICA -"‘Regional "Office
Field Activities
AMERICAS Regional Office Field Activities
SOUTH-EAST ASIA Regional Office Field Activities
EUROPE Regional Office Field Activities
EASTERN MEDITERRANEAN Regional Office Field Activities
WESTERN PACIFIC Regional Office Field Activities
ROTATIONAL ADMINISTRA-TION AND FINANCE STAFF
INTER-REGIONAL AND OTHER ACTIVITIES
TOTAL Regional Office Field Activities
GRAND TOTAL
i 346 551 别 丨 2 16斗 Н7 Ш 461 对5 丨 6 270 4)5 丨
1 2 327 607 s 2 421 424 6 9)0 220 ； 7 575 398 493 504 5^2 5 046 6斗）
-
4 732 3耻
i «
}
Í5 506 877 vo
ro
V>1 ON
00
ГО
ГО VoJ
00
00
52 477 3 585 829
159 11^
5 536 045
143 062 6 811
AFRICA -"‘Regional "Office
Field Activities
AMERICAS Regional Office Field Activities
SOUTH-EAST ASIA Regional Office Field Activities
EUROPE Regional Office Field Activities
EASTERN MEDITERRANEAN Regional Office Field Activities
WESTERN PACIFIC Regional Office Field Activities
ROTATIONAL ADMINISTRA-TION AND FINANCE STAFF
INTER-REGIONAL AND OTHER ACTIVITIES
TOTAL Regional Office Field Activities
GRAND TOTAL 760 812 829； 8 434 882： 9 257 827 9 996 8 2 2 493 504 5斗2 j 5 046 64) 4 732 344 ；5 50o 877 丨 106 274 266 ' ; ¡ 3 6)8 306 — ^ ： , 5 675 159 6 886 87)
i—.
Appendix. 6 ‘
page 3
REGIONAL OFFICES AMD FIELD ACTIVITIES: NUMBER OP POSTS AND ESTIMATED NET EXPENDITURE IN 1958, 1959 and i960 UNDER THE REGULAR BUDGET THE EXPANDED PROGRAMME OP TECHNICAL ASSISTANCE (CATEGORY I)，THE MALARIA ERADICATION SPECIAL ACCOUNT AND OTHER EXTRA BUDGETARY FUNDS, BY REGIONS (CONTINUED)
Other Extra Budgetary Funds Total No. of Posts Estimated Expenditure No, of Posts Estimated Expenditure
1958 59 60 1958 1959 I960 1958 59 60 I958 1959 i960 AFRICA
Regional Office Field Activities
é л 1 696 200 1 704 500 2 280 ООО
37 118
40 .
155
42 202
286 489
3 232 035 琐 1 4 5
3 665 732
8)2
5 107 220
1 696 200 l 704 500 2 280 ООО 155 195 244 3 518 52斗 ) 9 9 9 877 5 斗56 052
AMERICAS Regional Office Field Activities
177 36I
174 415
181 1 292 251 10 909 861
1 377 m 10 850 426
1 791 9 613 423
232
527 230 568
237 587
1 803 977 13 155 911
l 925 381 12 970 189
2 013 681 11 91^ 872
538 589 615 12 202 092 11 « и .
12 227 600 11 050 214 759 798 824 14 959 888 14 895 570 15 928 553
SOUTH-EAST ASIA Regional Office Field Activities 4 487 658 4 508 500 5 352 ООО
89 264
89 89 Збб
307 430 8 907 678
刃 6 152
7 979 884 358 107
8 995 363
4 487 658 4 508 500 5 352 ООО 353 咖 斗55 9 215 108 8 316 0)6 9 353 奵 0
EUROPE Regional Office Field Activities ,s * 1 572 500 1 120 ООО 1 124 ООО
61
55
62
73
62 78
姆 2 2 6 2 729 525
377 051 3 70б 698
375 3 384 789
1 572 500 1 120 ООО 1 124 ООО 116 135 140 3 072 751 4 083 7^9 3 7бО 228
EASTERN MEDITERRANEAN -
Regional Office Field Activities 1 270 )00 1 ci05 500 2 865 ООО
72 226
73 2^7
74 248
336 688 3 82? 303
376 7Ю 5 196 809
385 681 6 35б 668
1 270 300 1 905 500 2 865 ООО 298 350 322 4 16) 991 5 57) 519 б 742 549
WESTERN PACIFIC Regional Office Field Activities 458 852 548 0斗2
.
59^ ООО 65 115
65 123
65 127
412 645 2 Зб9 206
449 879 3 022 311
464 089 3 863 409
458 852 548 042 59^ ООО 180 188 192 2 781 851 3 472 190 4 527 498
ROTATIONAL ADMINISTRA- i
TION AND FINANCE STAFF ¡ 4 4 18 700 H 577 55 448
+ i - ！
1 ¡
4 4 4 18 700 H 577 5 5糾 8
INTER-REGIONAL AND OTHER ACTIVITIES 10 11 11 59 050 65 480 66 694 .42 100 82 1 135 670 1 359 434 2 098 882
10 11 11 59 050 1 65 480 )
66 694 42 100 82 1 135 670 1 359 吵 2 098 882
TOTAL Regional Office Field Activities
177
371
174
k26 181 445
1 292 231
20 454 421 1 377 17斗
20 702 H 8
‘
1 791 21 895 117
•
56O 1 3^7 1
5旬 627
573 1 690
) 5 0 9 155 35 357 328
3 843 895
37 901 057
4 001 277
41 721 203
GRAND TOTAL -fe-» • “ 1 “ • — ~ л .. < ' _ . • 丨 • 丨 , i ‘
548 600 626 21 746 652 i 22 079 622 25 331 908 1 9O7 2 I9O 2 263 38 866 483 41 7帖 952 45 722 480 一 1 I i* i -и ч о г ^
APPENDIX 3 page 1
AVERAGES..fSED IN THE COMPUTATION OF THE REVISED 1959 AND PROPOSED I960 BUDGET ESTIMATES. AS COMPARED WITH THOSE PREVIOUSLY USED AND, TO THE EXTENT
PRACTICABLE, WITH THE AVERAGE. EXPENDITURE -IN THE PAST
'
i , , . , . . •. Headquarters, regional and other offices (including regional advisers, ‘ • • . . . .' . . • • “ regional health officers, area public health officers, Project staff i . ... í ‘ area representatives and zone offices )
jf "* • • ’•-••-... • • • ..... . 二... . .' . , 、： • • \ • ‘ • • • • Average Average i Average used in Average Average Average used in
1 expenditure previously the computation expenditure previously the computation in the past in use ef the 1959/196O in the past in use of the I959/196O
budget estimates budget estimates ¡ $ $ $ $ $ ф •
:Allowances
:Dependency allowance Grade: D2 - P5 706 600 600
. P5 360 36О P4 - P3 356 480 36О 360 360 P2 - PI 150 300 180 120 120
a Assignment allowance- ...
Grade： D2 - P5 1 1 500 1 300 •.i P5 1 500 P4 - P) 1 157 1 100 、 1 100 1 100 - " P2 - PI 896 830 , 850 850
Post Adjustment^ Grade：. D2 - P5 D-Rate D-Rate (with
dependants) P5 D-Rate P4 - P3 D-Rate D-Rate D-Rate P2 - PI S-Rate S-Rate (without S-Rate
dependants) ••
Installation per diem •. Grades D2 - P5 665 750 650
P5 450 - 500 P4 - P) 61) 600 550 450 500 P2 - PI 458 300 450 J>00 300 Local^ 150 150 150
300
Travel on initial recruitment or repatriation
Grade: D2 - P5 781 700 750 P5 900 Q00
- ？J 785 700 750 с 900 900 P2 - PI m 400 45O 1 520 一 700 700 Local^ 95 100 100
700 700
For footnotes see following page
Grade: Travel on home leave
1 )88 750 750^
о о
о
Ю
0 о
5
о
8 2
5
1
1 1
0 74
7
4 6
11
9 2
5
1
1 1
Transportation of personal effects Grade: D2 • P5 — — — — — 一 —
P4 - P3 "" ‘ P2 - PI Localb
Short-term consultants Pees:
Travel;
Average expenditure in the past $ 639 per month;
Average expenditure in the past $ 7斗5 per month;
average previously in use $ бОО per month;
average previously in use $ 650 per menth;
average used in 1959/1960 budget estimates $ 600 per month
average used in 1959/1960 budget estimates $ 700 per month
$ $ $ $ $
A p p e n d i x 3
page 2
Headquarters^ regional and other offices (including regional advisersj regional health officers, area public health officers,
area representatives and zone offices) . Average
expenditure in the past
Average previously
in use
Average used in the pemputation of the 1959/196O budget estimates
Project staff
Average expenditure in the past
Average previously
in use
Average used in the computation of the I959/196O budget estimates
a
一 Staff entitlements varying according to dependency status.
一 Applicable only where provision for non-resident allowance is made•
с 一 The average expenditure of $ 1520 shown under Travel on initial recruitment includes expenditure in respect of installation per diem.
—Adjusted to take account of the fact that the entitlement to home leave travel in each year applies accompanied them to the duty station - otherwise the entitlement accrues once in two years only.
only to those project staff members whese dependants have not
P5
P3 1
2 5
4
DPP
P2 - P：
Localb
00goooo
9 2
5
1
1 1
о ю
о
о
o Í5
о
о
9 7 3 1
8 %008
76 3
1
5 5 3
3 7 1 о
9 7 3 1
APPENDIX 3 page 1
% (2.73)
37.06
N73
$ 233 430
1)2 670
73 250
$ 227 050
132 670
100 40®
439 350
3 087 166 5 404 150
460 120
3 384 699 5 847 421
297 533 443 271
8 491 516 丨 9 2)2 120 Г 740 8o4
Organizational Meetings
1. World Health Assembly
2* Executive Board and its Committees
3» Regional Committees
Total _ Organizational Meetings
Operating Programme
4, Programme Activities
Headquarters Field
Total - Programme Activities
Total - Operating Programme
Administrative Services — — — « — i • ни и штттштштттяишшттшвтЛяштт^
8* Administrative Services
9* Other Statutory Staff Costs
Total - Administrative
Services
Other Purposes ^Я^ттт^ятття^яттЁ^Лтштшттатвт
Reimbursement of the Working Capital Fund
Total • Other Purposes
Total
13 145 238 14 339 538
1 162 066
320 686
1 482 152
1 264 120
354 922
1 619 042
1 194 300 9.O9
162 054
836
8.78
10.88 156 890 9.24
100 000 (100 0СЮ) ¡(100.60)
100 000 - ！ (1Ь0 ООО) 100.00)
î “ 1 ‘ ‘ '•• '；' •久
1 5 166 7狀 î 16 418 700 ¡1 251 960 • 8.25 ，丨.
5. Regional Offices
6. Expert Conanittees
• Other Statutory Staff Costs
1 736 460
181 100
2 736 362
1 776 662 218 920
Ъ H I 836
40 202
37 820
375 474
2.32
20.88
13.72
365 597 461 怖
826 872
351 354
1177
165
1226
174
165 174
134a 14©0
SWMARY TABLE SHOWING INCREASES AND DECREASES IN THE PROPOSED PROGRAMME AND BUDGET ESTIMATES РШ I960 CMPARED WITH THE CORRESPONDING ESTIMATES FOR 1959, WITH PERCENTAGES, BY APPROPRIATION SECTION
Number of Posts
1959 I960
Appropriation Section Estimated expenditure
1959 I960
Increase (Decrease) | as compared with 1959
Amount Percentage
APPENDIX 3 page 1
； 4 3 9 9 1 5
163 479
(a) statutory staff costs for established posts r
b) new posts e) common services d) staff training e) contractual technical services f) short-term consultants g) duty travel h) printing of publications i) other items
Less reduced provision for new projects
1.1,2 Increased requirements for regional .advisers, regional and area public health officers, zone offices and area representatives in respect of -
(a) statutory staff costs for established posts
(b) new posts (c) short-term consultants (d) duty travel
490 472
Less reduced requirements for study groups i ($ 12 ^30) and grants-in-aid ($ 10 COO) ； (22 43^) 417 奶 5
Less decreased requirements for common services
Total increase for Programme Activities (Field)
1.2 Programme Activities (Headquarters)
Increased requirements in respect of:
(8 773)
(Amount of ¡Increase
I. OPERATING PROGRAMME
1.1 Programme Activities (Field)
1.1.1 Increased provision fort
(a) continuing projects (b) projects composed of fellowships only
611 565 97 300
708 865
Percentage of total increase
59Л8
5 1 . 5 3
33.35
SUMMARY TABLE INDICATING THE MAIN ITEMS WHICH ACCOUNT THE INCREASE СУ $ 1 251 960 IN THE PROPOSED EFFECTIVE WORKING HJDGET POR I960 COMPARED WITH THE CORRESPONDING LEVEL FOR 1959
io4 581 196 92? 58 111 50 000 28 500 14 300 12 800 12 000 2 700
3) 3 6
5)0
9 590
5e
4 58
2
:218
！
155 1
7 800 7 630
Appendix. 6 ‘ page 3
136 983
2 7 1 5 0
(6 380)
；102 5 ^ 5
'i (8 728)
1.5 Regional Offices
Increased requirements in respect of
(a) statutory staff costs for established posts
(b) new posts
(c) public information
� duty travel
(e) hospitality
Less reduced requirements for common services
1.4 Expert Committees
Total - OPERATING PROGRAMME
2. ADMINISTRATIVE SERVICES
Increased requirements in respect of
(a) statutory staff costs for
established posts (b) • new posts (c) public information (d) duty travel
Less reduction in requirements for common services
3. ORGANIZATIONAL MEETINGS
Increased requirements for Regional Committees
Less reduced requirements for World Health Assembly
Sub-total
Less non-re current requirements^"
Amount of Increase
j Percentage j of total ！ increase
$ %
93 817
37 820
7.^9
3.02
300 95.39
136 890
20 770 1.66 1 351 960
(100 oco)
107.98
1 251 960 100.00
51 257 38 526 35 900 11 300
$
0
4
^
^
2
0
w
9 78 38
6 6 4 2
1
8 ！
1 Relating to is included in the I960.
the Reimbursement of the Working Capital Fund for which provision approved estimates for 1959 but not in the proposed estimates for
DETAILED ANALYSIS OF INCREASES AND DECREASES BY MAIN ORGANIZATIONAL UNIT OR FUNCTION
APPENDIX 3 page 1
Organizational unit or function
Personal services and allowances
and statutory travel
1959 I960 • ‘ • ——• Established posts ... Temporary ! STC's fees Duty .
1959 I960 Continuing ; Discontinuing New Posts ！ staff and travel travel j Fellowships Other Net Total
i US $ ； US $ US $ ; us $ US $ US $ US $
1
US $ US $
1 Organizational meetings ]
World Health Assembly - (6 )80) (6 380)
Executive Board and its committees • ： i
1 : j
一
Regional Committeesí - 1 1
Africa (180) 255 3 135 3 210
Americas 9 510 6 840 l 750 18 100 1
South-East Asia 7 400 7 400 j lîurope (1 880) (6 380) (1 300) (9 560)
‘ Eastern Mediterranean (500)
！ 8 ООО 500 8 000
Western Pacific — I •
t -
Total » Regional Committees ： ；
6 950 1 16 115 i
4 085 27 150 j
Total - Organizational Units î
6 950 i
16 115 (2 295) 一 ' 1
20 770
Programme Activities (Headquarters) U
2 4 2 9 Offices of Assistant Director-General
Health Statistics
2 165 22 839 2 ООО 27 004
2
7
6
7 1
Office of the Director
Health statistical methodology •
105
1 040
11 235 200
400 ：
11 5^0
1 440
18
7
18 8
Consolidation of health statistics
International classification of diseases and development of health statistical services
Biology and Pharmacology
1 570
1 055 5 107 (2 600)
(900) 8 0 0
670
2 362
2 2 Office of the Director 105 600 705 i .4 7 Radiation and isotopes 662 10 805 O 900) (1 200) 6 )67 4
7
4
7
Biological standardization
Pharmaceuticals •
650
1 048
2 600
3 900
(500)
500 i
！ 2 750 !
5 448
4 4 Addiction-producing drugs 700 I 2 600 (400) i 2 9Q0 1
Appendix б page 2
DETAILED' ANALYSIS OP INCREASES AND DECREASES BY МАШ ORGANIZATIONAL UNIT OR FUNCTION (continued)
Number of Posts
1959 I960
Organizational unit or function
Personal services and allowances and statutory travel
Established posts Continuing i Discontinuing New Posts.
Temporary staff
STC's fees and travel
Duty travel Fellowships Other Net Total；
2 4
7
4
26
5
7
2 11
) 6
4
4
5
4
5
9
2 2 2
I Malaria Eradication «
2 j Office of the Director
4 I Malaria eradication planning
7 Malaria eradication programme
Communicable Diseases
4 Office of the Director
23 Tuberculosis
5 Venereal Diseases and Treponematoses
5 Veterinary public health
10 Virus diseases
6 Enderao-epidemic diseases
2 Leprosy
11 International quarantine
Public Health Services
) Office of the Director
7 Public health administration
2 Organization of medical care services
4 Health 1 áboratory services
4 Nursing
4 Health education of the public
5 Maternal and child health
Health Rrotection and Promotion
3 Office of the Director
4 Social and occupational Health
5 Mental health
10 Nutrition
2 Dental health
2 Cardiovascular diseases
2 Cancer
US $
842
930
185
3 052
374
250
1 242 »
l 068
305
174
425
1JJ
400
6 2 5
7 2 杯
721
1 5吣
319
331
544
us $
О 598)
us $
8
10
12
105
805
0 3 8
2 630
408
600
15 182
2 845
US $ US $
О 900)
8oo
500
1
(1
300
900
300)
2 600
(1
(3
(1
1
2
300)
900)
300)
300
600
us $
500
(500)
(100) 200
400
400
(500)
900
(600)
2 500
500
(500)
2 0 0 .
400
2 200
(300)
1 400
1 400
200
бОО
US $ US $ US $
500
842
930
(З15)
(4 5^6)
574
755
247
381
244
468
8 20
13
1
2 1
15
3
3
955
叶杯
808
225
237
600
623
17 382
(876)
(l 779)
5 785
(781)
1 6 3 1
3 544
Appendix. 6 ‘
page 3
DETAILED ANALYSIS OF INCREASES AND DECREASES BY MAIN ORGANIZATIONAL UNIT OR FUNCTION (continued)
Number of. j Posts
• Organizational unit or function
Personal services and allowances — •
and statutory travel
1-
• • ‘ ； .
1959 i960 Established posts Temporary STC's fees Duty
1959 i960 Continuing Discontinuing New Posts staff and travel travel Fellowships “Other—、. ‘Net Total
US $ US $ US $ US $ US $ US $ US $ US $ ... US $
Environmental Sanitation
3 Office of the Director 305 (2 600) 400 (1 895)
2 2 Urban sanitation 灼 500
1 2 Rural sanitation 252 2 845 (1 500〉 600 2 397
2 2 Vector control and pesticides 344 3 900 600 4 844
2 2 Environmental biology
Education and Training Services
1 300 500
. . . . . . .
2 164
2 2. Offiee of the Director 105 (200) (95)
5 5 Fellowships 767 (200) 567
3
Education in medicine and allied subjects
Public Health education and graining
Editorial and reference services
95
J67
(2 600)
3 900
(200) • • … (2 707)
4 267
39
6
41
6
Office of the Director
Health legislation
229
871
5 260 5 031
871
19 19 Library and reference services 2 295 2 295
15 '"16 Official records 2 726 3 600 4 600 10 926
16 16 Technical publications 5 133 3 .
22
7
24
7
Translation
Programme Co-ordination
4 372
1 204
9 975 14 347
1 204
Programme evaluation 293 293
13 13 Supply
Common services
Grants
Contractual technical services and other forms of research co-ordination
1
1 457
i
(200)
i
38 111
(10 000)
28 500
1 237
38 111
(10 000)
28 500
Appendix 6 page. V
DETAILED ANALYSIS OP INCREASES AND DECREASES BY MAIN ORGANIZATIONAL UNIT OR FUNCTION (oontinued)
Number of Posts Organizational unit function :
Personal services and allowances and statutory travel
• • I . j
{
i
1959 I960 1959 I960 Established posts Temporary-
staff STC's fees and travel
Duty travel
...V : , • ‘
； • .. - . .. -.. . f — • _ "“ ‘ Continuing j Discontinuing New Posts
Temporary-staff
STC's fees and travel
Duty travel Fellowships： Other Net Total
î •• • Other costs us $ US $ US - $ . US $ US $ US $ US $ US $ :US $
Study groups . (12 430) (12 ЬЗО)
• • • - - -. . . « « - ' " "
Printing of publications 12 ООО 12 ООО
- Staff training 30 ООО 30 ООО
Other ;
2 700 2 700 / .�• . .
Net difference in adjustments to estimates in respect of plus and minus factors .
� -i
2 856 2 856
365 597 Total - Programme Activities (Headquarters) k6 27I . О 598) 134 279 4 600 14 300 12 800 88 881 297 532
Expert Committees 4 960 32 860 820
； • :•‘ ；
Administrative services ’ v }-：；
8 ; 8 5 . s • •
Office of the Direotor-General ‘ 773 775
5\ 5 /
Office of the Assistant Director-General • ’ и '• ‘ ,
Administrative Management and Personnel
666 666
• t 2 2 Office cf the Director. :
105 •
• • • л''' 105
7 8 Administrative management 1 311 3 600 6 600 11 511
18 20 Personnel 2 211 5 260 (1 400) 6 071
30 32 Conference and office services
Budget and Finance
1 7^8 5 260 10 700 17 708 ,
2 2 Office of the Director 105 200 305
10 11 Budget 1 462 2 65O 4 092
32 Finance arid accounts 3 0 0 1 2 700 100 . 5 801
20 21 Public Information 2 938 2 845 200 5 983
6 6 Legal Office 1 055 1 055
9 10 Internai Audit 1 3杯1 4 500 4 700 10 5^1
8 8 External Relations 806 參
200 -：r ‘ Г
• ‘ - ‘ •' ‘ 1 006
8 8 Liaison with United Nations (New York) 1 213 700 i ！
i . i
1 91)
(
Appendix б
page 5
DETAILED ANALYSIS OF INCREASES AND DECREASES BY MAIN O^GANIZATimAL UNIT Q3R FUNCTION (continued) * '
Number of Posts Organizational unit or function
-Personal ；services ahd allowances and statutory travel
Temporary Staff
STC's fees and travel
Duty travel Fellowships Other Net Total
Number of Posts Organizational unit or function
Established posts New Posts
Temporary Staff
STC's fees and travel
Duty travel Fellowships Other Net Total 1959 I960
Organizational unit or function Established posts
New Posts Temporary
Staff STC's fees and travel
Duty travel Fellowships Other Net Total 1959 I960
Organizational unit or function
Continuing Discontinuing New Posts Temporary
Staff STC's fees and travel
Duty travel Fellowships Other Net Total
Common Services
Other Costs
Public Information supplies and materials
Other
Net difference in adjustments to estimates in respect of plus and minus factors
Total - Administrative Services
US $
(1 283)
US $ US $ US $ US $ US $ US $ US $
(93)
27.900
3 COO
US $ -
(93)
27 900
8 000
л
(1 283)
165 174
Common Services
Other Costs
Public Information supplies and materials
Other
Net difference in adjustments to estimates in respect of plus and minus factors
Total - Administrative Services 17 452 26 795 10 7<>ê 11 300 35 807 ,102 0.54
Other Statutory Staff Costs (Operating Programme)
(a) Programme activities
Headquarters
Field
(b) Regional Offices
Total - Other Statutory Staff Costs (Operating Programme)
(9 391)
119 952
201 907
53 615
Other Statutory Staff Costs (Operating Programme)
(a) Programme activities
Headquarters
Field
(b) Regional Offices
Total - Other Statutory Staff Costs (Operating Programme)
V
II9 952
211 298 .
5) 615
(9 391)
119 952
201 907
53 615
Other Statutory Staff Costs (Operating Programme)
(a) Programme activities
Headquarters
Field
(b) Regional Offices
Total - Other Statutory Staff Costs (Operating Programme) 384 З65 (9 391) 375 m
Other Statutory Staff Costs (Admin. Servicss) a.
Administrât tve Services 37 036 (2 200) p
34 856
» f-
Regional Offices
ft
38 40 Africa •’ *、 5 845 4 735 I60 '(12 688) (1 948)
55 55 Americas . 7 551 60 6 048 13 659 74 "(b South-East Asia 4 744 5 294 10 038
61 61 Europe 3 736 066) 3 370 62 63 Eastern Mediterranean 6 61k 965 10， 2 ^95 10 174
57 57 Western Pacific 5 557 (500) 2 000 (2 907) 4 150 4 4 Rotational Administration and Finance Staff 759 759
551 554 Total - Regional Offices 34 806 5 700 (500) 2 320 (2 124) 40 202
DETAILED ANALYSIS OF INCREASES AND DECREASES BY MAIN ORGANIZATIONAL UNIT OR FUNCTION (continued)
Number of , • •• • • . . . . . . RersonaX services.and allowances Г .
Posts Organizational unit or function and statutory travel ！
i960 Established posts Temporary STC s fees Duty
1959 i960 Continuing Discontinuing New Posts staff and travel travel Fellowships Other Net Total
- US $ US $ US $ US $ JS $ US $ US $ . US $ “ US $
Programme Activities - (Field)
(a) Regional advisers and representatives, etc.
86 26 Africa ; 1 1 250 (5 363)' 6 298 17 17 Amencâs,. “..,..； ..... ¿j. 380 (944) 3 962 44 .44 South-East Asia 6 .AU D 3斗5) 2'766 • 27 29 Europe … 8 历 . 7 З29 4 ООО 206 .1.9 .868...: 31 31 Eastern Mediterranean 7 928 3 ООО (1 077) 9 851 27 27 Western Pacific ) 601 BOO 1. 750 13 151
172 174 Total - Regional advisers and representatives, etc. 41 910 7 З29 7 8OC 7 6)0 (8 773) 55 896
(b) Other field activities 一 乂 (b) Other field activities V
刃 42 Africa 54 966 ( D 5 0 ) (21 450) 7 610 С 400 5 086 85 262 42 44 Americas 24 041 5 200 (斗 035) 36 034 (17 698) 43 5^2 74 78 South-East Asia 21 788 (9 750) (8 365) 40 600 l) i8o 57 453 2 1
74 Europe 7 967 16 9OO (2 377) (б 240) 3 4 595 50 845
bt 1
74 Eastern Mediterranean (13 827) (5 200) 3 729 66 9 375 60 377 26 га Western Pacific—— • .8. .767 . . . . 37 7«C (1 016) 24 920 (1 529) 68 842 为 Inter-Regional and other activities 22 87? 2 200 (31 200) 19 875 7 300 21 #54
289 301 Total - ^ther field activities 126 581 (2 150) (7 80«) 15 421 205 •14 50 309 387 375
Appendix 7 Page I
2 930
620
2 700
2 000
2 400
700
2 400
2 900
2 000
11 500
850
8 750
8 900
US $ US $
24 266
22 514
3 750 ! 5 620
3 150 3 000
61 520 ! 43 807
I 22 仁29
28
65
638
006 900
10
9 528
9 000
9 997
24 550
2 000
19 129
2 500
28 220
19 070
50 630
3 750
7 500
22 000
2 502
11 010
Angola, Cape Verde and Mozambique
Malaria Tuberculosis Endemo-epideraic Diseases Public Health Administration Nursing
Maternal and Child Health Environmental Sanitation Education and Training
Basutol&nd
Nutrition
Belgian Congo and Ruanda-Urundl
Malaria
Endemo-epidemic Diseases Public Health Administration Education and Training
Federation of Rhodesia and Nyasaland
Tuberculosis
Public Health Administration
Public Health Administration (Use of Radioactive Substances) Health Education of the Public
Nutrition
French Africa (Various Territories)
Tuberculosis Tliberculosis Endemo-epidemic Diseases Maternal and Child Health
French West Africa
Yaws Control
Ghana
l\iberculosi8
Endemo-epidemic Diseases Advisory Services, Public Health Administration Public Health Administration Nursing Administration Nursing Health Education of the Public Maternal and Child Health Nutrition
Environmental Sanitation Education and Training (Anaesthesiology) Education and Training (Pathology) Education and Training (Radiology)
Kenya
Tuberculosis Poliomyelitis Control Public Health Administration
Advisory Services, Health Education of the Public
Health Education of the Public
Maternal and Child Health
Mental Health
Nutrition
Environmental Sanitation Education and Training
Liberia
Malaria
Maternal and Child Health
Fly Control
Education and Training
Mauritius
IViberculosis
Training of Nursing Personnel
Nigeria
Leprosy Control
Smallpox Control
Public Health Administration
Mental Health
Environmental Sanitation
Education and Training
Assistance to Department of Preventive Medicine,
Ibadan University
Seychelles
Public Health and Sanitation
Sierra Leone
Leprosy Control
Public Health Administration Nurse Training
Ophthalmology Survey and Organization of Services Technological Assistance to Laboratories
St Helena
Nutrition
Technological Assistance to Laboratory
Tanganyika
Public Health Administration
1959
Projects composed of fellowships
only
US $
5 000
2 700
5 400
900
ESTIMATED COSTS UNDER THE REGULAR BUDGET OF CONTINUING PROJECTS, PROJECTS COMPOSED OF FELLOWSHIPS ONLY, AND NEW PROJECTS,
FOR THE YEARS 1958, 1959 AND i960
Region/Country/Project title Project No.
1958
Projects continued from 1957
Projects composed of fellowships
only
New projects
Continuing projects
I960
Projects composed of fellowships
only
US US $
9 500
24 441
9 750
4 620 10 090
9 460
52 355
24 007
2k 827
69 723 47 131
13 596
10 453 h 620
11 897
US $
4 000
2 700 5 400
2 500 4 000 2 500 2 500
3 000 4 000
6 000
1Л 500 3 000
700
3 000 4 000
2 000
500
1 500
900 400
5 200 2 500
11 800 16 000
叨3叨50
8 2
8 7
500 900 500 450
2 1 5
3
17 17 17 17 17 17 17 17
8888 7
7
7
7
7
7
7
7 7
2
8
8138168 8 5
w 8158 8 巧
Д1510巧 7
1
5
9
1
5
巧
1
6
1
2
1
5
1
2
5
6
2^328888
880000
6 6 1
о
A p p e n d i x '
page 2
1958 1959 i960
Region/Country/Project title v Project Projects Projects New Continuing Projects New Continuing Projects New
N o . continued composed of projects projects composed of projects projects composed of projects
from 1957 fellowships fellowships fellowships
only only only _ US $ US $ US $ US $ US $ US $ US $ US $ US $
Uganda
Malaria 12 20 400 28 992 3 5 W
Tuberculosis 13 19 724
Poliomyelitis Control 15 5 665
U n i o n of South Africa
Malaria
Public Health Administration
1
9 8 400 5 300
10 600
5 300
Nursing 9 2 650 2 65O
Maternal and Child Health 9 4 500 2 650 2 65O
Education and Training 9 13 100 5 5Ó0 5 3 0 0
Zanzibar
Nursing 7 10 500 10 500
Inter-Country Programmes
Malaria Consultants 48 j
10 700 4 570 Malaria 8 1 150 Malaria (Technical Meeting) 12 6 725 4 200
Conference on Malaria in Africa 44 1 50 000 Tuberculosis Seminar 17 i 19 000 Advisory Services, Tuberculosis 50 9 700 5 000 3 850 Regional Tuberculosis Co-ordination Centre 53 j 34 676 32 372 Yaws Co-ordination Meetings •28 j 2 бОО
Advisory Services, Venereal Diseases and Treponematoses 5 1 4 000 斗ООО Snail Identification and Research Centres 1 9 2 500 1 500 1 500 Onchocerciasis Training Course 27 15 700 Brucellosis Seminar 3 1 22 590 Leprosy Conference 3 2 14 000 Advisory Services, Leprosy 4 6 10 110 6 000 5 ООО Co-ordination Meeting on Smallpox 5 4 11 120 Onchocerciasis Specialists Meetings 3 6 12 З15 Virus Diseases 5 9 1 200 Bilharziasis Specialists Meeting 5 7 13 900 Exchange of Information on Primary Cancer in Africans Я 2 500 5 000 5 ООО
13 900
Veterinary Public Health Seminar 5 6 15 0 0 0
Advisory Services (Sociology) 4 7 3 7 5 0
15 0 0 0
Advisory Services (Hospital Construction) 5 5 6 7 0 0
Public Health Administration 8 4 5 0
Social and Occupational Health 5 8 3 7 0 0 ) 7 0 0
Maternal and Child Health 26 1 7 5 1 0 12 0 0 0 12.000 Mental Health Seminar 3 0 2 1 0 0 0 1 0 0 0
Nutrition Seminar (FAO/WHO) 4 2 1 3 612 Symposium on Pesticides 3 9 1 9 8 5 0
Medical Literature 3 5 200 500 >00
TOTAL - Africa 2 3 2 8 7 1 168 280 I52 I85 299 038 89 000 m 533 4 0 6 4 6 9 1 0 ) 7 0 0 1 6 8 2 4 0
The Americas
Argentina
Rabies Control 11 2 600 2 6 0 0
National Institute of Microbiology 4 6 6 6 2 28 3 7 9 3 5 ^ 9 8
Public Health Administration 6 30 3 5 ^ 9 8
National Institute of Rehabilitation 26 3 杯 9 0
Nutrition Programme 15 3 9 0 0
School of Public Health 17 1 0 6 0 5 1 7 5 6 3 18 525 Medical Education
Bolivia
18 2 9 0 0 6 9 0 0 12 200
Nursing Education 5 18 651 1 9 4 4 6 1 9 杯 2 9
Public Health Services 3 8 885 10 685 1 3 7 4 5 National Food and Drug Service 18 1 2 1 8 4 14 983 12 245 Environmental Sanitation Training 45 4 0 8 5 4 1 6 4
School of Public Health, Rio de Janeiro 19 1 6 9 5 3 2 6 0 4 2
4 0 8 5
2 3 8 6 5
School of Public Health, Sao Paulo 35 1 4 8 4 0 10 600 11.600
British Guiana and West Indies
Public Health Legislation 6 1 斗 5 .
Public Health Administration 5 1 9 5 0 5
British Honduras
Public Health Services
C&Il£Ul&
5 12 800 1 0 4 4 0 26 802
Public Health Administration 1 6 5 0 0 6 5 0 0
Chile
Public Health Administration 25 1 4 2 0 2
Midwifery Education 20 10 026 11 2)8 1 7 9 ^ 5 Advanced Nursing Education 29 1 6 3 5 1 16 9^8 1 5 8 1 1 Environmental Sanitation Training 33 4 600 4 600
6 600 School of Public Health 51 5 5 1 5 6 600 4 600
6 600
Dominican Republic
Public Health Administration 9 1 0 4 5
Nursing Education 8 8 1 7 2J> 640 2 5 1 9 0
Ecuador
Public Health Services 4 3 0 2 5 0 jJO 845 4 4 9 0 8
Nursing Education
Guatemala
16 18 038 2 5 4 5 1 26 694
Public Health Services 8 4 7 3 7 7 5 7 8 1 1 6 1 6 6 4 Training of Nursing Auxiliaries
Haiti
6 1 5 7 1 7 1 4 2 0 0 8 600
Yaws and Smallpox Eradication 1 44 387 11 899 1 2 1 5 9 Public Health Administration 1 5 3 985
1 2 1 5 9
Appendix ' page 3
2 250
3 870 2 000 Я0 975
10 59
13 482
US $
57 1^0
15 557
58 919
11 599
11 700
US $
51 200
19 278
5 930
Mexico
Integrated Health Services, Guanajuato Public Health Administration Environmental Sanitation Training School of Public Health Medical Education Veterinary Medicine Education
Nicaragua
Nursing Education
Public Health Administration
Paraguay
Leprosy Control
Peru
Public Health Adnlnistration
United States of America
Consultants in Specialized Fields of Public Health Public Health Administration
Uruguay
Public Health Administration Waterworks Operators School
Venezuela
Public Health Adninlstratlon
West Indies Federation
Public Health Legislation
Inter-Country Programmes
Brucellosis Control Rabies Control
Veterinary Medicine Education Vaccine Testing Leprosy Control Laboratory Services Latin American Centre for Classification of Diseases Health Statistics Zone III Health Statistics, Zone IV Health Statistics, Zone II Veterinary Public Health Zone III Veterinary Public Health Zone V Fifth Regional Nursing Congress Advanced Nursing Education Assistance to Schools of Nursing Seminar on Nursing Education Courses on Nursing Supervision and Administration Cultural Anthropology Health Education Zone II Health Education Zone III Assistance to Paediatric Education Environmental Sanitation Training Waterworks Training Course Assistance to Schools of Public Health Medical Education Seminar on Teaching of Public Health in Schools
of Veterinary Medicine
South-Eaat Aala Afghanistan
Trachoma Control Typhus Control Public Health Adviser
Assistance to Faculty of Medicine, Kabul University Refresher Course for Medical Officers
Leprosy Control Vital and Health Statistics Medical Stores Managements, Rangoon Nursing Refresher Course
Strengthening of Health Education Bureau, Rangoon National Training Course in Health Education Health Education In Schools Mental Health, Rangoon Assistance to Medical College, Mandaiay
National Medical Education Conference
Ceylon
Venereal Disease Control Leprosy Control Filarlasls Control Medical Stores Management Cardiac Surgery Cancer Institute, Maharagana Medical Research Institute
Assistance to Health Directorate (Nurse Adviser) School of Publlo Health Nursing School of Physiotherapy Organization of Paediatric Teaching and Services Mental Health, Colombo Medical Education
US $
69 767
3 600 16 332
6 900
37 927
11 085
11 700
US
9 090
2 585 6 482
8 085
24 405
3 500
6 025
360
5 -099
500
41 879
200 200
100 TO
8 900
US $ US $
600
6 900
8 700
22 695
27> 100
TOTAL - The 59 443 I23 224 15 905 779 712 28 500 77 280
12 000
10 000
6 700
9 208
28 500 15 908
784
555
3 900
3 900
Region/Country/Project title Project No.
1958
Projects ! Projects continued j composed of from 1957 1 fellowships
I only
New projects
1959
Continuing Projects projects composed of
fellowships only
New projects
Continuing projects
I960
Projects conposed of fellowships
only
New projects
19 016 33 907 1 400
36О 200
36О 859 52O
0<)0杯(>0ô707ffNl
о
и
19204 078580 18
236507242556 16
11211111 1
9 0
Ю
ю 1
ю о о
e'ïzs Ô
8 ю о о
^>9
6 76<6
8
6 3 3
118 4
1115 1
2
600 046 巧1 45ÍÍ
56О 287 068 УЬЪ 698
34
-98 96
1 1
1
258 89 593
02 81
54 >21 15 U 175 42 408
22 18 35 50 32
-^1769556348958360 0^
5121768
266744884488 «26402940
111
1
11113
1
1
1
2
15 860 25 710
2 010
15 720 8 080 1 150
13 5Ю
4 5633 7290150791
4 4 12
12
4256556
•N66 3 8 9 7 9 3 5 2 7 7
2 5
2 4 4 5
夕
55 〜54'
17 060 3 100 9 500 5 248
17 400 22 ООО 15 993
13 616 20 603 14 86?
15 15)
2 7 9 9 0
6 8 4 0
22 695
17 892 15 020 13 600 47 525
12 600 24 800
22 296 896
1 300
16
910 8 979 1 150
15 909
5 800
9 562 11 322 15 014 22 596 10 322
12 699
600
5 0
900 640
Appendix '
page 4
Leprosy control Trachoma control Training course in trachoma Freeze-dried smallpox vaccine Vital and health statistics School of Public Health, Bangkok Dental health
Rural health programme (nursing supervision) Health education of the public Mental health clinics, Dhonburi and Bangkok Physiotherapy
11 519
19 198
5 200 10 960
Д9 262
3 0 0 0
3 6 0 0
6 750
3 780 10 140
BCO Assessment team Smallpox control Production of freeze-dried smallpox vaccine Preparation of annual public-health reports by Member States Dental health seminar, Adelaide Conference on auxiliary nursing personnel Training course of health physicists Regional teaching confererce on child health Radiation protection Regional seminar on certification and classification of
causes of mortality and morbidity Medical literature and equipment
TOTAL - South-East Asia
17 640
16 Д80
11 830
3 150
Л 560 5 650
3 350
575 780
3 600
500
1 Д00
23 360
2 110
1 ООО
16 680
18 280 U 670 Л 790
12 310
156 210
16 5U 17 550
16 Ш
4 1 厶 9 1
7 800
2 ООО
687 0Л8 8 900
21 316
3 900
3 800
7 800
131 983
27 аб 20 103
13 775 27 22Д
U 286
2 ООО
786 938 3 500
18 233
1 580 10 29Л 36 321 17 051
11 ЗЗЛ
10 137 9 7ДЗ 3 970
31 Л06
19 899
27 197
30 503
Л 760 11 250
13Л
135
22 190
3 900
42 910
26 353
India
Chemotherapy Centre, Madras Trachoma pilot project Leprosy-Free ze-dried smallpox vaccine Dental health Public-health programmes: Punjab
Jammu and Kashmir Bihar
Uttar Pradesh Kerala Madhya Pradesh Andhra Assam
Post-graduate course for Midwifery tutors - College of Nursing, Delhi
Short refresher courses for nurses Assistance to Nutrition Research Institute Health education certificate course Paediatric education
Assistance to the upgraded Departanent of Paediatrics, Madras Medical College
Assistance to the upgraded Department of Paediatrics of three medical colleges, Bombay-
Assistance to Paediatric Department, Osmani Medical College, Hyderabad
Maternal and child health nursing, Uttar Pradesh All-India Institute of Mental Health, Bangalore Conference on auxiliary personnel in sanitation Teaching of psychiatry in medical colleges Course on radiation protection Seminar on teaching methods in medical training Assistance to All-India Institute of Hygiene and Public
Health. Calcutta is re-organizing teaching of DPH and some other courses
Hospital physics
Indonesia
Leprosy control Dental health Short course in health education Faculty of Medicine, Gadjah Mada University-Assistance to Medan Medical School Faculty of Medicine, Surabaya Radioisotopes and radiology
Maldive Islands
Inter-Countiy Programmes
Public-health administration
Nepal
Malaria
Cholera epidemiological irvestigation Undergraduate medical training
Portuguese India
Tuberculosis Mental health
Thailand
3 Л00
42 980
2 100
000
750
17 076
32 289
18 151
37 368
5 A00
3 500 3 500
Region/Country/Project title Project
No Projects continued from 1957
1958
Projects composed of fellowships
only-
US $
New projects
ÜS
Continuing projects
US $
1959
Projects composed of fellowships
only-
US I
New projects
US ft
Continuing projects
US
I960
Projects composed of fellowships
only
US $
88 317
Neir projects
OC03VQ 7
8 5 л 6 7 6
9 OI
3
2 AG
т^
9
6 6
6 83
⑦
0<3
26ъ6а5
4 Os
о 6
2 9 2
5
9
1 л.
2
2 13 3 3
4 1 9 6 0 n- 9 8
о
1
4/^75566
11 1111
1 3 3 9 6
26 024
29 ЛЭи
17 Д95 31 956 33 718 38 5Л6
5 300 29 479
59 950 15 540
27 950
5 920 17 050 47 190 40 570
7 920 3 Д00
в
Loollôb 口
厶义�55 6
5 8 1
ЗО88002230Л 75
331 厶
322 厶 12
19 A80 11 549
1 220 11 133 34 154 11 412
22 230
2 280 36 Л70 2Л Ш
‘o o^
3 4 5 в
3 4 13 4л
1 9 2 8 8
4 100
5 1б0 5 200 1 260 1 Д70
1958 1959 I960
Region/Country/Project title Project No.
Projects
continued
from 1957
Projects composed of fellowships
only
New projects
Continuing nrojects
Projects composed of fellovshipe
only
New projects
Continuing projects
Projects composed of fellowships
only
New projects
US i US $ US $ US $ US $ US 1 US $ US $ US $
Europe
Alb&ni.&
Education and Training 1 6 000 6 000
Austria
Sera and Vaccine Production Care of Premature Infants
Development of Environmental Sanitation Services Education and Training
RmI (H im
4.10 12 U 11
2 350 2 500
12 710
1 550 2 500
9 000
i зоо
2 850
1 300
3 500 7 300
oe丄к丄ив
Education and Training 9 11 200 9 000 9 500
Bulgaria
Education and Training
Assistance to Training Institutes
CzechosXov&id&
7 8
14 940 10 000
5 fXX) 3 000
10 000
Education and Training Assistance to Training Institutes
Denmark
8
9
10 000 10 000
8 000 8 000
10 OCX)
National Training courses in Psychiatry Education and Training 9 500 8 500
2 850
9 500
Finland 1
Child Psychiatry Education and Training
France
H 12 11 730 10 000
1 950 11 OCX)
Education and Training 28 13 770 12 000 12 550
Germany Federal Republic
Assistance to Training Institutes Education and Training
17 16 12 550 12 000 12 550
1 300
Greece
Rehabilitation of Handicapped Children Mental Health Services Education and Training
3 20 21
и uoo
5 750 7 000 U 800 4 800
7 500
1 зоо
丄。С上CU1U Education and Training 7 5 1*00 5 000 5 400
Ireland
Education and Training 13 8 920 9 500 10 000
Italy
Nursing Education
Care of Premature Infants Education and Training
23 7
21 11 920
500
11 200
h 500
12 000 1 300
Luxemburg
Mental Health Services Education and Training
Malta
3 1
и 丨
1
2 600 1 500
3 900
Education and Training 3 2 000
Morocco
Health Education of the Public, Advisory Services Mental Health, Advisory Services Education and Training
Netherl&nd，
Г- CO UN
r-t t-i
2 090
2 000 5 700
1 зоо 10 500
Education and Training
Norw&y
15 ： 11 550 10 500 Il 550
Mental Health, Assistance to Training Institutions Education and Training
Poland
11 10
-
7 960 9 000
750 750
9 250
Maternal and Child Health Services Nutrition Adviser Education and Training Assistance to Training Institutes
Oí О»
»r\ гН «H «H «H
1
1U 000
11 645 5 900 1A 000
U 100 U 800
5 000
14 000 2 600
Portugal 1
Maternal and Child Health Services Education and Training Assistance to Training Institutes
RnSLnia
4 1 17 6
13 190 2 U00
11 300
5 000 6 600
3 600 9 ООО
Education and Training Assistance to Training Institutions
1 2
1
10 000
5 000 5 000
10 000
6 000 10 000
Spain
Rehabilitation of Handicapped Children Mental Health, Advieoiy Services Water Supplies and Sewage Disposal Education and Training
3 21 20 17
1 000
5 410 5 300
5 700
7 200
1 300 3 100 1 зоо
7 500 3 800
Sweden ！
Education and Training 12 14 610 8 500 9 000
Switzerland
Education and Training
Assistance to Teaching Institutes 15 2
7 630 6 600 7 000 8 000
Turkey *
Strengthening of Public Health Administration
Education and Training
/»о 36 5 900 8 500 7 000
i2 300 .
Append t к 7 Page 6
Region/Country/Project title Project
No.
1958
Projects
continued
from 1957
Projects composed of fellowships
.only
New
project®
1959
Continuing
projects
Projects
composed of
fellowsnips
only
New
projects
I960
Continuing projects
Projects""“
composed of
fellowships
only
New projects
US
Union of Soviet Socialist Republics
Education and Training to Training Institutes
United Kingdoa of Great Britain and Northern Ireland
Education and Training
Yugoslavia
Child Mental Health Education and Training
Inter-Country Programmea
of Malaria Eradication Progranme for South Eastern Europe
Tuberculosis Control Conference on the Control of Infectious
through Vaccinaticxi Prograones Training Courses in Virus Advisory Group on Public Health : Assistance to Public Health Laboratories Conference on Control of Caanunicable Eye Diseases Training Course on Veterinary Public Health Conference on Food-rborne Intoxications and Infections Advisory Group on Neuro-Tropic Virus Diseases Symposium on Epidemiological Surveys and Studies of
Infectious and Chronic Diseases Travelling Seminar on Public Health Administration Conference on Hospital Statistics and their
Application in Health Adnlnistration Scandinarlan Public Health Training Course Rural Public Health Training Courses European Schools and Training Centres of Public Health Monograph on Public Health Services Training Course on Hospital Administration
post-baaic Nursing Educational Institution on Public Health Nursing on the Organization and Administration
of Nursing Services Study of Nursing Curricula Public Health Nursing Training Course Seainar on Nursing Education for Child Care Training Course on Nursing Conference on Health and Welfare of Draining Course on Occupational Health Conference on the Training and Utilization of Family
Health and Welfare Workers ViHO/UNXU Advisory (k-oup on Public Health Aspects of Ageing
of Population Travelling Seminar on Occupational Health Symposium on the Relations between the Hospital and
its Cannunity Training Course for Industrial Medical Officers on thi
Psychosocial Environment in Industry Advisory Group Conference on
Conference on Rehabilitation of the Hiysically Handicapped Conference on the Utilization of Industrial Medical
Serrices for Conmunity Health Progranmes Training in Health Education Co-ordinatdon of Perl-Natal Studies in Europe Seminar on School Health Services Seminar on Preventicm of Accidents in Childhood Training on Foetal and Neonatal Pathology Seminar on Dental Health Services for Children Travelling Seminar on Maternal and Child Health International Children 1e Centre Courses Study on Child Developnent Seminar on Child Guidance
Seminar on the Mental Health of the Sub-noraal Child Conference on Preventire Mental Health Work with Children Training in Child Psychotherapy
Psychiatric Treatnent of Criainals .Delinquents
Mental Hygiene Practice
13
28 23
3 2
5 2
3 1
'6)7.4 7.8.050508.
7a5 45512
7
111 L
L 1 11 1
87121860611019387732336162
1 . L
L1 1
111
Epidoilology of Conference oJ of Sanitary Engineers Ccxiference on Water Standards Training Course for Municipal Engineers Courses on Radiati «i Protection Study of Air Pollution Problème
Assistance to Training Institutes for Sanitaiy Engineers Joint WHO/ÈCE Conference on Water Pollution Conference on Radiation Protection Meeting of Fellowships Placement Officer Participation in the European Consultative Group on
Medical Literature
Reproduction
Participation
United Nations and other Agencies
Pollov-mp of Inter-Country Activities on
Sub-total
Contingency Prorieion
Conferences of the
National :
189 13.2
58
88.2
112 136.1/2
137
163 179.1 179.2 186
190 140
39.2
40.3 102.2 142 151 170
191 & 194 91
103.2 108.2 143 144
145 173 192
6 & 9.7 66.2 93
100.5/6 114.2 115 159 175
193
118.3 181
183 185
US :
22 910
070
US US US :
21 ООО
10 600
US睿
ООО
US
18 '
16 . 240
5 500 9 660
18 ООО
10 625
22
1 750
20 060
TOTAL •
11 900 8 280
630 520
300
530 300
203 635
203 635
10 910
13 900
7 210
23 410
8 930
6 030
35 870
1 160
450
5 200
16 300
3 500
6 550
18丨
8 925 19 125
10 610
500 13
255 820
255 820
250
065
1 ООО
9 210
14 130
19
20
11 150
14
500
I 720
239 200
239 200
500
7 300 15 100
250
200 500
3 900 6 100
199 760
199 760
15 ООО
22 ООО 3 900
10 100
252 900
252 900
160
10 725
8 ООО
17 900
21 200
23 020
ООО
900
500
15 104
500
US $
21 ООО
11 200
ООО
US
9 ООО 22 ООО
15 ООО
13 535
3 900
240 805
42 ООО
282 805
10 500
2 360
14 ООО
500
7 300 15 100
100
200 500
700 ООО
227 299
42 ООО
269 299
273 300
273 300
10 500
12 ООО
895
25 ООО
8 750
27 930
20 100
14 540
15 050
25 960
24 100
050 785
100
ООО
360
244 360
Aden
Шгвв Training and Maternal and Child Health Maternal and Child 1
C y p m s
Public
Ethiopia
Communicable Eye Disease Control
Public Health College amd Training Centre,
Public Health
Medical Education
Publio Health Laboratory
Cancer Contlrol
Higher Institute of Publio Health
Public
Mldirlfery 】
Mental Health
Publie Health ‘
Maternal and Child Health
School for Backward Children
College 丨
to Hadassah M«dlo«l School and Social Medicine to
! Medical School
Jordan
School of Health (Favus)
Vital and Health Statistics
Public Health
Mental Health. Mental Hospital
and
Publio Health
Public Health
to
Laboratory
Admlnlstr«tlon
French University, Beirut
Publio Health Training to
Beirut
Libya
Public Hé氤1th
NUrses* School,
Maternal and Child Health, Demonatratlon and Training
Centre, Trlpolltanla
Sanitation
Control (BCO)
IXibereulosis Survey
Publie Health Laboratory
Public Health
№rslng Eduo«tlon,
Children*» Hospital, Karaohl
School of Physiotherapy, Karachi
Saudi Arabia
Control and ACO
Public Health Laboratory
Publio Health Administration
Health Assistant* and SanltArlana* Institute,'Riad
Anaesthesiology
Somalia
Sudan
Control (BCO)
Control
Control
Control
Publio Health t
Tunisia
Chemotherapy Pilot Projeot
OphthAlnologlOAl Centre
Publie Health laboratory
Publie Health Administration
Blood Bank
United Arab Republic (Province of Egy
Virology Reaearoh Laboratory
Higher Institute of Publio Health,
Public Health Administration
Higher Institute of Publio Health, Alexandria
Premature Infante Unit
Neuropeyehlatrlo Unit
United Arab Republic (Province of Syria)
Vital and Health Statlstlos
Publio Health and Endemic Diseases Laboratory
Public Health Administration
NUrslng Eduoatlon
Rural Environmental Sanitation
Blood Bank
US
5 100
78 590
38 260 11 460
2 730
37 780
13 810
4 110
12 770
13 ‘
960
23 950
19 500
11 250
21 ООО
10 850
2 610
8 880 13 86o
12 450
11 700
5 050
59 8*0
3 580
18 300
23 025
23 025
1 510 9 960
970 600
10 400
4 400
New
projects
Continuing
projects
12 015
68 423
591
14 610 1杯 9 2 7
7 5 6 2
36 296
5 750 14 615
5 ООО
11 768
24 567
8 9Ю
4 9 0 0
2 600
15 550
2 5 3 5 5
10 i 892
14 190 18 268 25 W
9
6 750 41 007
31 640
24 143
5 500
11 608 12 17*
59 843
11 720
16 047
Region/Country/Project title Project
Mo.
Projects
continued
fron 1957
1959
Projects
composed of
fellowships
only
I960
Continuing
projects
US J
900
13 302
600 300
800
i 300
000
3 7 048
16 702
23 985
50 756
22 185
24 321
7 6 7 7
7 5 7 7
3 7 2 9 0
1 5 4 2 9
54 164
11 556
2 600
10 847
15 220
33 537
19 058
16 492 15 859
5 1 6 2 9
53 252
2 7 9 8 9
13 987
1 000 7 800
40 551
51 419
21 163
1 6 2 9 9
32 206
2 ) 891
847
11 856
124 16 154 12 072
1 5 丨
10 ООО
12 ООО
8 ООО
1 5 丨
800
12 ООО
ООО
15 ООО
15 ООО
16 ООО
1 9 5 8
composed of
fellowships
only
US ¡
36 050
36 500
1 7 林 5 0
14 310
12 820
11 470
12 300
600
20 ；
16 ！
19 900
28 500
24 250
15 520
3 J^
鉍
2
9
5
3
5
2
1
2
8
Д
2
8
8
1
7
3
5
2
7
2
5
2
9
1
5
2
0
1
8
1
0
2
3
Д
2
6
1
2
3
9
吣
1
4
1
8
2
1
4
1
3
5
2
3
1
2
7
5
0
2
3
2
5
1
3
7
W
1
5
8
89
5
1
6
8
2
6
2
4
7
2
3
9
2
2
2
0
1
4
2
1
5
7
2
7
A
5
9
2
7
B
5
0
4
2
1
5
5
0
2
8
丌
穿
3
2
^ 5
tó 5 6 1
0
Ф
о
朔扣烟 ®
4
0
0
2
5
9
9
0
0
1228«78 105
Appendix 7
1 ) 8 4 4 0 7 9 3 3 2 1
2 5杯7 2 1 2 8 3
49 894
23
1 7 1 0 8
11 360 13 300
2 5 2 ) 5
4 500
9 0 7 7 犊 6 4 5
New projects
Continuing projects
Project No.
Page 8
1 9 5 9
Projects composed of fellowships
only
New projects
Continuing projects
I960
Projects composed of fellowships
only
New
projects
US
8 000
US
5 1 1 1 8
5 0 0 0
14 800
7 6
2 7 936
14 71)
000 625
1 ) 3 9 7
1 5 0 0 0
2 000 10 000
1 0 5 5 0 0 1 7 8 9 9杯 8 9 9 2 4 4
8 192 8 208
1 7 2 9 6
6 7 4 3 4
11 300 8 050
3 500
5 500 5 5 0 0
岁8 0 9 1
5 5 0 0
500500500
kn
5 3
3 500 3 500
3 500
5 5 0 0
5 5 0 0
US
10 000
18 300
4 300
166 60 454
4 8 7 6 5
2 600 5 500
丄 1 ООО
12 ООО
5 5 0 0
9 ООО
4 500 6 ООО
11
3 500 3 500
500
5 5 0 0
5 5 0 0
5 5 0 0
7 ООО
2 ООО
3 200 5 5 0 0
7 8 0 0
11 700
1 2 2 3 7
1 1 5 2 7
1 1 2 ) 7
11 2)7
Projects
continued
from 1957
上9 3 8
Projects composed of fellowships
only
US US
5 9 8 0
690
33 ООО
579 7Ю 2 7 5 办50
1 1 6 5 0
5 2 4 8 0
31 100
13 230
3 0 5 1 0
5 3 0 0
12 750 11 800
5 5 0 0
уоо
16 900
3 ООО
)ООО
办50
2 500
3 500
6 100
5 ООО
1 9 1 9 0
4 0 0
Region/Country/Project title
Yemen
Public Health Administration
Inter-Country Programmes
Regional Tuberculosis Survey Team Smallpox Survey Team Seminar on Communicable Eye Diseases Smallpox seminar
Adviser on School Health and Health Education Dental Health Survey
Advisory Services, Public Health Administration Nursing Seminar Training Course in Social and Occupational Health Seminar on Health Education of the Public
Drinking Water Standards Study Group
Training Course for Waterworks Operators
Sanitary Engineering Field Training Medical Education Meeting Medical Use of Radioisotopes
Seminar on Food Hygiene and Zocxioses Control (Planning* Meeting)
Mecllcal Literature and Equipment
Participants in Training Courses and Educational Meetings
TOTAL - Eastern
Western Pacific
Australia
Public Health Administration
British Solomon Islands
Nursing Education
Cambodia
Treponeraatoses Control
Nursing Education
China
Tuberculosis Control Venereal Diseases C<xitrol Endeno-epidemic Diseases Public Health Administration Maternal and Child Health Mental Health Nutrition
Institute of Public Health Education and Training
FIJI
Health Education of the Public Maternal and Child Health Central Medical School Education and Training
French Polynesia
BCG and Leprosy Control
Nutrition Survey
Hong Kong
Public Health Administration
Japan
Medical Social Work
Public Health Administratis Nursing Education Social and Occupational Health Health Education of the Public Maternal and СAId Health, Handicapped Children
Maternal and Child Health, Administration National Institute of Mental Health
Insecticides Hazards
Blood Bank Management
Habit Forming Drugs Laboratory Animal Strains
Pood Enrichment
Parasitism Control Parasitism Control Leprosy Control
National Training and Demonstration Centre
Public Health Administration Epidemiology
Public Health Laboratory Health Education of the Public Administration of Maternal and Child Health Programme Mental Health
Laos
Maternal and Child Health Demonstration and Training Centre
Environmental Sanitation
Assistance to Training Institute
0 8 Í 8
Rural Health Training Centre i to Training Institutions (Clinical Pathology)
i to Training Institutions (Pharmacy)
Netherlands Hew Guinea
Leprosy Control Nursing
Health Education of the Public Nutrition Environmental Sanitaticxi
28 649 1 7 8 5 0
10 400 12 985 26 000
900
000
7 0 0 0
5 000
5 8 4 0
14 820
18OO6O.0G
1 5
1 9
s'
160825356751^422 8
4
5
2 2
4
1 lu,
3
2 3
3 4
5 3 4 14
7 18
8 8 о
о
7
8
1 2
2
2^^22
8 8 8 8
О О 5
О О О О О О
20 10 9
21 22
Appendix 7
Page J
9 辦 9 ^
22 641
400
44 572 2 000
300
500
21 327
1 875
2 000
22 350 51 夂50
31 810
358 667 126 200 119 004
215 216 13 ooo
32 6)2
43 436
1 6 丨
15 500
15 <
16 500
US $
30 380 8 370
20 682
17 860
6 040 35 040
760
283
211 900 4 900
US
5 500
500
3 300 3 500
5 500 5 500
4 900
3 820
6 750
131 300
Health Education of the Public
Nursing Environmental Sanitation Phys io the rapy
Nlue
Public Health
Papua and Hew Guinea
Tuberculosis Leprosy Control Tropical Medicine Public Health Environmental Sanitation Medical Education Tropical Medicine Research
Killippines
Tuberculosis Orthopaedic Surgery In Poliomyelitis Leprosy Control Public Health Administration Public Health and Midwifery Industrial Health Mental Health, Advisory Services Environmental Sanitation Advisory Services Environmental Sanitation Training
Singapore
Urban Health Centre
Island-wide Domiciliary Midwifery
Timor
Malaria
Tonga
Public Health Administration
Study of Mother and Child Relationships
Trust Territory of the Pacific Islands
Public Health
Vital and Health Statistics Preventive Medicine Hospital Administration Environmental Sanitation Advisory Services
Tuberculosis Control
Inter-Country Programmes
Inspection of BCG production 】 Refresher Course for Assistant Medical Practitioners Conference on Vaccine Production Tuberculosis Seminar Seminar on Venereal Diseases Control Yaws Control Poliomyelitis Centres Seminar on Veterinary Public Health Dental Health Seminar Seminar on Vital and Health Statistics Undergraduate Medical Studies Seminar on Occupational Health Industrial Health Health Education Training Seminar Conference on Maternity Care Seminar on Family Mental Health Sewerage and Planning Design Medical Literature and Teaching Equipment
TOTAL - Western Pacific
Inter-Regional and Other Activities
Malaria Advisory Teams Assistance to Malaria Courses Treponematoses Advisory Team Training Course on Public Health Laboratory Techniques
for Virus and Rickettsial Diseases Bllharziasis Advisory Team Inter-Regional Training Course on Bilharziasis Leprosy Conference Leprosy Advisory Team Smallpox Training Course on Dried Vaccine Production Smallpox Conference Conference on Post Basic Nursing Education Programmes Conference on Technique of Surveys on Epidemiology
of Mental Disorders Inter-Regional Meeting on Urban Water Supply Symposium on Resistance of Insects to Insecticides Seminar on an Aspect of the Medical Use of Radioisotopes Seminar on Disposal of
5 500
3 500
13 037 12 037 8 300
22 300
30 100
16 200
30 350
1)2 500 198 062
400
500
Region/Country/Project title Project No
Projects continued from 1957
1958
Projects composed of fellowships
only
New projects
Continuing projects
1959
Projects composed of fellowships
only
New projects
Continuing projects
I960
composed of fellowships
only
11 500 20 556
986
6 6 6 6 6 6 6 AA9AAA4
31
->
4 _>
4
5
<459 3
056752
7356 02 073024
-11 3
3 s- 6 2
3566
9 ol 52714 54
о 5 14 6 2
4 5
5 3514 5776 76476:
365 400
2 835 381 977 W
5 ООО
127 950
023 312
25 ООО
435 950
3 551 496 611
106 436
1 071 035
57 211
15 ООО
520 206
161 999 708 500
65 900
841 241
杯 5 8 1 0
2 835 381 977 1 025 312 3 551 496 611 ООО 1 013 824 4 l6l 999 708 300 795 431
V 5 176 320
V 5 665 73Ю
856 127
18 933
5 195 253
19 995
5 685 725
UMWRA (Malariologlst) Liaison with 1
- N e w York -Paris
UIWRA (Public Health Personnel) Broad Progranne8 of the United N
the Social and Eco: л and Specialized Fields
TOTAL - Inter-Regional and Other Activities
REGIONS (GROSS)
in the Implementation of new projects
REQIONS (NET)
Add Additional requirements for Increased pensionable remuneration, post adjustment reclassification and suspension of minus post adjustments-
Appendix ' page 10
Regioiv/Coimtry/Project title Project No.
Projects continued from 1957
1958
Projects composed of fellowships
only
New projects
Continuing projects
1959
Project» composed of fellowships
only
New proJ«ote
Continuing projects
I960
Projects oonposed of fellowships
only
projects
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PROPOSED PROGRAMME AND BUDGET IDSTIMATSS FOR I960: ESTIUáTED D:PEÍtDITURE FOR 1958, 195? AND I960 . . BROKE?1 DO-"T BI M J O R SUBJECT HEADINGS TO THE EXÏELT POSSIBLE
APPENDIX 12 page 1
• “ • • 195 S 1959 I960
_ .0 Vj)
*
A. Activities related to specific major subject headings
•
Malaria
Headquarters staff costs 100 83Л 101 063 114 523
Expert Committees 10 Л90 10 040
Contractual technical services 27 200 28 200 28 200
Field 593 5U9 732 073 596 382 726 145 634 935 787 698
Tuberculosis
Headquarters staff costs 175 776 151 021 UO 205
Expert Committee's 10 040
Contractual technical services 29 500 36 000 A2 000
Field 283 223 488 504 417 930 614 991 Л72 713 654 91S
Venereal Diseases and Treponemat о s is
Headquarters staff costs 55 177 54 791 56 787
Expert Committees- Э 230
Contractual technical services 11 000 11 500 12 500
Other costs includii^g study groups 1 800
Field 1ДД 789 212 766 181 916 257 437 177 139 2厶6 426
Endemo-epidemic diseases
Headquarters staff costs 216 803 242 986 315 631
Expert Committees 32 310 27 080 29 360 Contractual technical services 28 500 29 50G 36 000
Other costs including study groups 23 650 10 300
Field 510 741 812 50Д U09 66Д 709 230 510 683 902 474
Public Health Administration
Headquarters staff costs 125 821 159 455 201 137
Expert Committees 32 530 U2 600 36 360
Contractual technical services 41 500 LA 500 .44 500
Other costs including study groups 17 350
Field 2 051 833 2 251 684 2 182 343 2 АЛ6 2Д8 2 428 105 2 710 102
Appendix 8 page 2
Nursing
• Headquarters staff costs
Expert Committees
Field
Social and. Occupational Health
Headquarters staff costs
Contractual technical services
Field
Health Education of the Public
Headquarters staff costs
Field
Maternal and Child Health
Headquarters staff costs
Expert Committees
Field
Mental Health
Headquarters staff costs
Expert Committees
Other costs including study groups
Field
Nutrition
Headquarters staff costs
Expert Committees
Contractual technical services
Other costs including study groups
Field
Environmental Sanitation
Headquarters staff costs
Expert Committees
Contractual technical services
Field
15 221 9 780
518 855
40 036
2 500
144 905
41 841
U3 658
52 503
340 708
46 061 16 910 3 800
229 076
74 50Д
5 710
5 250
Л1 370
125 Л96
12 690
21 ООО
405 524
574 856
137 4Л1
1-35 499
393 211
295 ЗД7
126 834
564 710
-иэ 584
652 213
41 718
147 4Л4
ÍÁ 826
150 013
5А 8Д7
452 843
52 832
10 040
232 796
89 963
7 820
81 779
115 670
9 280
21 ООО
AU ЗЛ8
701 797
189 162
194 839
507 690
295 668
179 562
560 298
4 9 151
723 953
53 278
157 295
Л7 255
189 642
5А 164
9 280
Ш 802
64 651
18 560
203 757
105 666
1Д 760
3 ООО
97 133
132 01Л
8 520
21 ООО
396 21Л
773 104
210 573
236 897
512 246
286 % 8
220 559
557 748
Appendix б page 3
л .1?
1958 л V?
i _ , 1 -J
1959 Л •)
1 1960 А
Education and Training
Headquarters staff costs 1 0 0 8 0 2 107 6 0 1 1 1 0 Л 3 4
Expert Committees 2 6 I S O 1 0 0 4 0 2 7 8 4 0
Grants and contractual technical services 2 4 0 0 0 3 4 ООО 2 Л ООО
Other costs including study groups 9 2 8 0
Field 7 8 1 9 9 0 9 3 2 9 7 2 9 4 7 0 3 5 1 107 956 1 019 8 9 2 1 182 216
Other Projects
Headquarters staff costs 4 9 9 6 4 5 5 5 0 3 8 0 6 2 5 9 5 2
Expert Coramittees 1Л Д 0 0 5 Л 9 2 0 6 Д 2 0 0
Contractual technical services 6 3 2 6 5 5 8 265 7 0 2 6 5
Other costs including study groups 1 7 6 0 0 2 6 8 0 0 3 0 л о о
Field 8 0 2 0 9 708 119 6 6 205 756 570 3 2 5 6 5 373 382
B, Activities not related to any specific major subject heading
1. Prograïïime activities - Headquarters :
(a) Offices of the Assistant Directors-General 143 095 U9 345 210 117
(b) Editorial and reference Services 1 025 662 999 225 1 063 580
(с) Office of Supply 35 158 85 609 77 993
(d) С01Ш10П services 289 900 337 215 375 326
(e) Other costs (staff training) 30 ООО
2. Programme activities - Field:
(a) Contingency provision (European region) 42 ООО 42 ООО
C. Other costs provided for in the budget estimates
1. Organizational meetings /,29 ОАО 43? 350 ЛбО 120
2. Regional Offices 2 16Д 447 2 308 538 2 Л01 626
3. Administrative Services 1 Д53 600 1 4SI 491 1 624 584-
4. Reimbursement of ~ orkLag Capital Fund 100 ООО 100 ООО
Total Gross Estimates 14 157 922 15 190 1々6 1 6 4 Л 0 6 5 7
Plus and minus factors (107 230) (109 757) i
Total Met Estimates as per
(109 757)
Official Records No. S9 1U 157 922 -； 1 5 0 8 3 1 8 6 1 6 3 3 0 9 0 0
STUDY LEAVES GRANTED TO WHO STAFF 195^-1958
Category ‘ .——. -,‘•- . - 一 •‘ - - - - - ‘ - - • ‘
Fellowship
of Staff Place of Study Course or not Assignment before Study Last Assignment
1950-51
Medical Officer Lon-Soh.Hyg.T.M, DPH , i
None Liaison Officer Dep. Reg. Director
1951-52
Sanitary Engr Johns Hopkins MS Engr None Project Engineer ！ Regional Adviser
Medical Officer »r tt MPH Rockefeller Jr Medical Officer Team Leader Clerk Geneva Ec . S o c . Sc. None Clerk (IQ) Clerk (IQ) Medical Officer Columbia MPH None Medical Officer (ТВ) Chief, Branch, AMRO
Nurse Vancouver Adv. Nursing None Asst Chief Nurse Chief Nurse
Medical Officer Lon.Sch.Hyg.T.M. DPH Rockefeller Medical Officer (ТВ) Area Representative
Medical Officer Harvard MPH Rockefeller Chief, MCH, HQ Chief, Branch, AMRO Medical Officer Johns Hopkins MPH Tf Medical Officer ÍPH) Public Health
Administrator Medical Officer tt ft MPH Kellogg Medical Officer (VD) Regional Adviser
1954-55
Sanitarian Minnesota MPH Rockefeller Sanitarian Scientist Medical Officer Harvard MPH n Reg. Adviser (ТВ) Reg. Adviser (ТВ) Medical Officer Johns Hopkins MPH Kellogg Medical Officer(Project) Med. Officer (Project) Medical Officer Lon.Sch.Hyg.T.M‘ DPH Rockefeller BCG Officer Fellowships Officer(EURO) Medical Officer It tt tt w Dra None 1УЮН Adviser PH Adviser Nurse Toronto BS, Nursing Kellogg Project Nurse (ТВ) Country Adviser Dental Officer Michigan MPH t? Dental OfficerivraO) Dental Officer (PASB) Health Ec'ucator Univ.North MPH None Health Educator(ProJect) Asst Chief, HEP
Carolina
APPENDIX
9
раоче
1
STUDY LEAVES GRANTED WHO STAFF 1950-1958 (continued)
Category of Staff Place of Study Course
Fellowship
or not Assignment before Study- Last Assignment
1955-56 » » • •• im-' m m,
Medical Officer Medical Officer
Johns Hopkins ” и
MPH MPH
Rockefeller it
Medical Officer (ТВ) Liaison Officer
Medical Officer (PH) Pub«Health Administrator
1956-57
Medical Officer Nurse Medical Officer Medical Officer
Harvard Univ. Cleveland Lon.Soh.Hyg.T.M. Harvard
MPH BS, Nursing
DPH MPH
1!
Kellogg Rockefeller Kellogg
Medical Officer(ProJect) Nurse (Project) Medical Officer (MCH) BCG Officer
Reg. Adviser Reg. Adviser Med. Officer (PH) Med. Officer (ТВ)
1957-58
Murse Medical Officer Medical Officer
Yale Lond.Sch.Hyg.T.M. Johns Hopkins
Nurs. Educ. DPH MPH
Rockefeller tt tf
Asst Reg. Adviser BCG Officer Reg. Adviser (MCH)
Asst Reg. Adviser Medical Officer (ТВ) Pub. Health Administrator
1958-59
Murse viedical Officer Murse
Nurse
Columbia Univ. Calif. Royal Col,
Nursing Boston
BS, Nursing MPH
Pub. Health Nursj
BS, Nursing
Rockefeller n
None
Rockefeller
Nurse (Project) Med. Officer (Trachoma) Chief Nurse, ÜNRWA
Nurse (Project)
Appendix 9
ï>age
2
АРРЕ1Ф1Х 10 page 1
CCUIÍCIL POR Ц.ТТЕНИАТЮШ. CHG胆ZATIONS OF KEDICAL SCIENCES (CIOMS)
Report by the Director-General
1. Establishment of and Relationship with CIQi-S
The First World Health Assembly decided that ЧхЮ should assume responsibility
in the eo-ordination of international congresses of medical sciences and that
negotiations should be carried out with IMESCO 1 because of its responsibilities in 2
the sciences basic to medicine. As a result, WI.IO and UKESCO took joint action in
establishing the permanent Council for Co-ordination of International Congresses of
3 Medical Sciences »
The Second 兄orId Health Assembly approved the principles for the collaboration
of the World Health Organization with the Council for the Co-ordination of 4
International Congresses of Medical Sciences. These principles include
representation of WHO, in an advisory oapacity, at the meetings of the Council,
designation by WHO of priorities in some of the Council's activities or sponsoring
of some selected congresses> and supplying material support in the form of
reimbursement of a part of the actual expenses for the secrétariat (of ths Council),
technical services (of the congresses) and publication of their proceedings. The
same resolution provides for an annual review, in accordance with policy and
budgetary appropriations, with à view to the Council eventually becoming financially
independent.
Handbook of Resolutions and Decisions, 4th e d” P- 312, ТлГНА.1.142
Handbook of Resolutions and Decisions, 4th ed” P- 313, WHA2.6
Handbook of Resolutions and Decisions, 4th ed” 327, SB3^R62
Handbook of Resolutions and Decisions, 4th ed., PP< ,327--8, WHA2.
Appendix 10 page 2~
Pursuant to this resolution, the Executive Board, at its fourth session
(July I949) established official relations with the Council.
The Fifth World Health Assembly noted the change of title decided upon by the
Assembly of the Oouncil 一 to be known as Council for International Organizations of
Medical Sciences (CIOMS) - its activities being broadened beyond the co-ordination
of congresses Л It endorsed the decision of the Executive Board that no change
need be made in the principles for collaboration with the Council.
The Ninth World Health Assembly decided that the World Health Organisation
should continue to provide support to CIOMS for activities approved by WHO to the
extent of suoh financial provisions as may be included in the budget approved 2
annually Ъу the Health Assembly.
2• The Work of CIOMS in Relation to WHO Functions and Interests
Prom experience gained during the past few years it is possible to outline
some aspects of the interest 010Ш has presented to WHO.
One of the functions of WHO (Article 2(3) of the Constitution) is "to promote
co-operation among scientific and professional groups which contribute to the 3
advancement of health". Roughly, 50 such groups now form the CIOKS, each
representing a special discipline. It is useful to provide a means which might
tend to counterbalance the breaking up of medical science into isolated special
disciplines. It is desirable to help these various groups in their efforts to
establish inter-disciplinary unity, and in the co-ordination of some of their
activities, such as the periodic medical congresses. The last, on account of their
proliferation, have tended to lose some of their scientific character, to encourage
their division into scientific compartments, and have led to waste of effort»
1 H^idbook of Resolutions and Decisions, 4th ed., p. 328，WKA.5.34 2 Handbook of Resolutions and Decisions, 4th e d” p. 328, ЧНА9.34
3 Constitution of the World Health Organization. Handbook of Basic Documonts,
9th e d” p. 5
Appendix 10 page 3
By being convened only in g-orae countries, they have rendered even more difficult the
participation of scientists from distant countries and have deprived them of the
stimulus of such scientific gatherings.
It is also desirable to provide a means of some continuity in the existence of
those scientific groups which are only periodically active, to introduce the raost
appropriate Methods for the efficient running of congresses and. similar international
gatherings； to profit from the periodic presence of eminent scientists in the large
gatherings by organizing smaller activities. The purpose of these activities,
marginal or not to the large gatherings, goes beyond the exchange of ideas and
communication of results and becomes an instrument for the collective exploration of
new ideas and methods or a means of instruction in special techniques. There is
thus the possibility of deriving benefit from the СЮШ and its scientific groups
i¥om the point of view of two other functions of WHO, "to promote and conduct research
in the field of health" 1 and "to promote in^roved sttmdaids of teaching and training"."
WHO assistance to GIOMS was intended to enable ¥H0 to complement its own efforts,
as outlined in its annual programmes, Ъу ¡neans which it would have been difficult
for the Organization to handle directly, and at the same time to exercize its co-
ordinating functions in health and contribute in avoiding overlapping and duplication
of effort. .j»
3. Activities of the CIOMS
Following its Third General Assetibly, at the end of 1955, CIOIIS started
functioning on a detailed three-year prosramrae and budget, by category of activity,
type of expenditure and allotmont by source of funds, according to the interests of
the sponsoring agencies and the decisions and appropriations of their governing
bodies.
Based on past records, the activities of the ClOi'lS may be grouped as follows:
1 Constitution of the World Health Organization. Handbook of Basic Documents,
9th ed., p. 5
Appendix 10 page 4~
(a) General advisory functions and co-ordination of congresses
Apart from individual consultations with the гдегаЬег organizations and the
necessary preparatory work, efforts in this field may be illustrated with throe items:
A congre s s-planning meeting； at which participated the organizers of
six major congresses,
The publication of a monograph on "The planning of International
Meetings", published in English in the United Kingdom, the United States
of America and Canada, and in French.
The periodic issue of the "Calendar of International Congresses of
îfedical Sciences"•
(b) Assistance to selected congresses
Apart from advice by the secretariat of th© CIOHS, financial assistance is also
provided for any of the following, depending on the circumstances and needs:
Pre-congress working parties - to assist with the planning, assignment
and co-ordination of presentation, etc.
Subventions - to cover preliminary expenses of organization, to
contribute towards the cost of simultaneous interpretation and, rarely,
the publication of proceedings. Pro-congress grants, to help congresses
to get started, will in th© future be changed to pre-congress loans,
reimbursement to be obtained out of receipts after the congress.
Travel grants (UNESCO funds) to young research workers to attend
specified congresses.
(c) Other activities
This third group of activities are mainly marginal to congresses but are of
direct importance to the international organizations of aedical sciences which form
the Council, or are carried out at the request of one of the two sponsoring agencies
(UIíISSCO and WHO), or with voluntary agencias» support (e.g. Josiah Macey Junior
Foundation, the Rockefeller Foundation, Unitarian Service Cormittee, Wellcome Trust).
They include the following:
Appendix 10
page 5
Promotion of a functional regrouping of the member organisations where
they overlap (e.g. The First International Congress of Neurological Sciences,
July 1957, comprising: The Third International Congress of Neuropathology,
a m e t i n g of The International League against Epilepsy, Tlie Sixth International
Neurological Congress, The First International Congress of Neurosurgery, the
Fourth International Congress of Electroencephalography and Clinioal
Neurophysiology, and the Symposium Neuroadiologicum).
Organization of multi-disciplinary symposia (e.g. Selection, Training
and Support of îfedical Research Workers, 1954, The Physiopathology of the
Rotioulo-Endothelial System, 1955¿ The Connective Tissue, 1956, Methodology
in Geographic Pathology, 1957, Sensitivity Reactions to Dru Ss, 1957)
Abnormal Haemoglobins, 1957, Oxygen Supply to the Human Potus, 1957,
Transparency of tho Cornea, 1958, Biological reaction to Traumatism, 1956).
Organization of courses (e.g. a series of lectures in connexion vith
the Eighth International Congress of Radiology, Ifexioo City) a practical
training course in connexion with the Symposium on Abnormal Haemoglobins,
Istanbul).
Organization of study groups and oonimittees (e.g. the Study Group on
Cell Biology, December 1955, and the International Committee on Laboratory
Animals - both sponsored by UNESCO).
Contribution to nomenclature and documentation (e.g. International
Aaatomical Nomenclature, 1955> Bibliography of International Congress of
Medical Sciences, 1956), and publication of the Symposia, etc.
4 . Finances of CIOMS
The budget for 1959, provides for a total of Í 72 000, i.e. WHO ^ 20 000’
ÜNESCO 22 ООО, СЮШ' own income 4. Ю 000 and 4 20 000 from contractual granta
and other sources.
Appendix 10 page 6 ~
The загле budget foresees secretariat expenses and executive coromittee meetings
amounting to 4> 18 000 (one-third each from WHO, IMDSCO and CIOrB funds), publications
and printing totalling ^ 11 500 {WdO i 1000, UNESCO ^ 3000, GIOMS Í 2500, other
i 5000), and other regular and contractual activities i 42 500 (WHO and UNSSOO
昝 13 ООО each, CIOMS and other income 4 ló 500). In the latter group, that of
other regular and contractual activities, WHO is budgeted for general advisory
functions and oo-ordination of congresses, i 3000 nnd aid to specific congresses,
i 10 ООО. UNESCO is budgeted for other activities (symposia, seminars, ©to•),
i 10 ООО end for travel grants to young research workers to attend specified
congresaes, 4 3000*
Comparison of income and expondituro, and thoir breakdown, shows that even if
all of С101 ISf own income were applied to the secretariat and organizational expenses
(Executive Coitimitte© meetings, etc.) it would only moet about half of them. Although
CIOIiS expects, as in recent past years, to obtain additional income from sources other
than WHO and UNESCO, this is only on a contractual basis for specific undertakings
mostly for symposia and seminars 10 000), printing and publication (4- 5000) and
travel of young research workers 3000)•
Special attention has, therefore, been paid by CIOMS, in accordance with the
desire of its sponsoring agencies, to increase its own income. The President of
the CIOMS, Professor J. Maisin, when informing the Direotor-Goneral on the rocent
Extraordinary and Fourth General Assembly of the CI0Ï4S, Paris, 25-27 September 1958,
stated that one of the specific purposes of the recent revision of tho statutes was
to enable th© organization to become financially self-supporting, at least as far as
overhoad expenses were concerned• It makes it possible for some national institutions
(medical academies, national resoarch organisations, oto.) to become members of the
CIOMS, thus participating in its activities and contributing towards its expenses.
At the same time, a revision of th© scale of subscriptions by member organizationa
was decided bearing in ¿nind, however, that many of the scientific organizations have
little or no regular income• It is, further, the Direсtor-Goneral1 s understanding
that a long exploratory discussion took placo as to tho possibilities of a fee per
congress participant.
Appendix 10 page 7~
ANNEX
MEMBERSHIP OF CIOMS
' M3MBRES DU CI0Í4S
International Association of Allergology Association international© d'allergologie
International Federation of Anatomists Fédération internatiomle dies anatomistes
The ¥orld Federation of Societies of Anaesthesiologists Fédération mondiale de3 sociétés d'anesthésiologistes
International Medico-Athlotio Federation Fédération internationale médico-sportive
International Conference of Audiology Conference internationale d'audiologie
First International Congress of BCG Premier congrès international du BCG
International Union of Biochemistry Union internationale de biochimie
International Association for Prevention of Blindness Association internationale de prophylaxie de la cécité
Mernational Union against Cancer Union internationale contre le cancer
International Society of Cardiology Société internationale de cardiologie
International Cardiovascular Society Société international© cardiovasculairq
International Society of Clinical pathology Société internationale dé biologie civique
Permanent International Covoraittee of Comparative Pathology Comité international permanent des congrès de pathologie comparée
International Society of Criminology Société internationale de criminologie
Appendix 10 page 8~
Annex
International Society for the Welfare of Cripples Société internationale pour la protection des invalides
International Dental Federation Fédération dentaire internationale
International Diabetes Federation Fédération internationale du diabète
International Federation of Societies for Electroencephalography and Clinical Neuropi^siology
Fédération internationale des sociétés d< électroenoéphalographie et de neurophysiologie clinique
International League against Epilepsy Ligue internationale contre l'ápilepsie
International Society of Gastro-enterology Société internationale de gas tr o-entér оlogie
International Scoeity of Geographical Pathology Société internationale de pathologie géographique
International Association of Gerontology Association internationale de gérontologie
International Union for Health Sducation of the Public Union internationale pour l'éducation sanitaire de la population
International Society of History of Medicine Société internationale d'histoire de la médecine
International Society of I^ydatid Disease Société internationals d'hydatologie
International Society of Internal Medicine Société internationale de médecine interne
International Academy of Legal Medicine and of Social Medicine Académie internationale de médecine légale et de médecine sociale
The International Leprosy Association Société internationale de la lèpre
World Medical Association Association médicale mondiale
Appendix 10 page 9
Annex
World Federation for Mental Health Fédération mondiale pour la santé mentale
International Committee on Military Medicine and Comité international de médecine et de pharmacie
International Neurological Congress Congrès neurologique international
International Union of Nutritional Sciences Union internationale des sciences de la nutrition
International federation, of Ophthalmologioal Societies Fédération internationale des sociétés d1ophtalmologie
International Society of Orthopaedic Surgery and Traumatology Société internationale de chirurgie orthopédique et de traumatologie
International Congress of Otolaryngology Congrès international d1otolaryngologie
International Paediatric Association Association internationale de pédiatrie
International Federation of Physical Medicine Fédération internationale de médecine physique
International Union of Physiological Sciences Union internationale des scienoes physiologiques
World Congress of Psychiatry Congrès mondiaux de psychiatrie
International Association for the Co-ordination of Psychiatry and
Psychological Methods Groupement international pour la coordination de la psychiatrie et des
méthodes psychologiques
International Congress of Radiology Congrès international de radiologie
International Union of Railway Medical Services Union internationale des services médicaux des cheïoins de fer
Pharmacy militaires
International League against Rhetmiatism Ligue internatio”nl.q contre le rhumatisme
Appendix 10 pago 10
Annex
International College of Surgeons Collège international des chirurgiens
InteiTiational Society of Surgery Société internationale de chirurgie
International Society of Blood Transfusion Société internationale de transfusion sanguine
*
International Congress of Tropical Medicine and Malaria 气 Congrès international de médecine tropicale et du paludisme
Intematioml Union against Tuberculosis Xhxíon international© contre la tuberculose
International Society of Urology Société internationale d1urologie
International Union against the Venereal Diseases and Treponematoses Union internationale contre le péril vánérien et les tréponématoses
Médical Women 1s International Association Association internationale des f e m e médecins
Associate Members
Membres Associés
European Society of Cardiology Société européenne de cardiologie
American College of Ohest Physicians
International Committee of Dermatology Comité international de dermatologie
International Society for Normal and Abnormal Ethnopsychology Société internationale d
f ethnopsyohologie normale et methologique
APFENDIX 11 page 1
STATISTICS RELATING TO CERTAIN ADMNISTRATIVE SERVICES
1953 1954 1955 1956 X957 1958. 1959 % ^ Increase (Decrease)
I. STAFF (includ-ing Office of Supply)
Regular 108 103 102 10L 105 106 134
Malaria Eradi-cation Special Account 18 20
Technical Assistance 35 Д 29 29 28 28
143 131 130 133 152 154 7
II. RESOURCES CBLIGATED CR EXPECTED TO BE CBLIGATED (millions)
Regular 8.11 8.13 9.28 9.98 12.09 13. ДЛ 15.08
Malaria Eradication Special Account 0.03 3.83 5.92
Technical Assistance 4Д9 3.75 л.а 5.Д5 5.53 5.77 Д.73
UNICEF 0.50 0.5Д 0.45 0.11 0.05
12.80 12.Д2 1ДД4 15.54 17.70 23.04 25.73 ica.
* Represents percentage increase (decrease) between first and last year for which figures are quoted.
Appendix 11 page 2 ~ “
III. . WORKLOAD
Average ntariber of full-time staff of the Organization serviced by the Department
(1) Applications for employment examined and recorded
(2) Appointments processed 糾
(3) Staff members pay-rolled
(4) Accounting entries related to pay-rolled j staff (including additional ! Entitlements and deductions for Pension Fund Insurance, etc.)
1953
1 2ДЗ
560
625
197
(5) Fellows serviced (Payment of monthly stipendsj travel, etc,)
72 275
(6) Line items of supplies and equipment purchased 9 2^0
678
195Д
1 262
771
602
992
77 892
682
1955
1 330
3 137
6Д1
1 186
89 Д96
8 574
761
1956
UOL
э 250
825
1 300
100 000
1 9 5 7 195 84i" %
Increase Decrease)
a o 560 26
096
833
380
600
790
460
26
22
110 000
850
10 584 719
870
11 563
125 000 73
875 29
14 000 52
Estimated for December
Including short-term and conference staff
Appendix 11 page 3
1953 1 妙 1955 1 9 5 6 1957 1958 Increase (Decrease)
(7) Number of shipments made 1 5^0 1 234 l зо 1 6 1 6 1 558 2 ЮС 57
(8) Allotment accounts maintained 9 0 0 985 l 1 1 0 1 2 0 0 1 ООО 1 ХОС 22
(9) Allotments of funds issued and revised to ensure maximum use of funds available 2 7 8 6 2 852 5 12奴 2 5拌 5 205 3 25С 17
(10) Ledger Postings kk 000 的 000 紅7 000 53 ООО 58 600 6k 500 46
(11) Budgetary and Finan-cial correspondence handled (cables and letters incoming and outgoing) 11 319 12 紅06 ЗЛ 5^5 13 590 11 873 13 53С IB
(12) Individual activities costed and consoli-dated in annual Programme and Budget Estimates 1 067 1 085 1 521+ 1 1 661 1 8^0 72
(13) Incoming and outgoing mail and cables processed by Registry 519 Î59 329 711 089 507 203 559 531 ООО 27
(110 Papers filed in Central Registry 61+ 6 6 0 52 6ko 52 29紅 紅0 112 53 0^2 61 紅00 (5)
(15) Correspondence classified and indexed in Central Registry 11 8 0 0 11 420 18 o8o 20 627 22 929 25 80С 119
(16) Pages typed by Central Steno-graphic Pooi ior Headquarters 73 6 0 0 77 6OO 9 0 0 10紅 ООО 113 150 325 оос 70
(17) Conferences and meetings arranged and serviced (a) 50 U ko 46 51 61 26
Number of conference days* ( b) 352 308 2 7 1 з ю 353 kQí 36
* including regional ccmferences for which C&OS has provided services
APPENDIX 12 page 1
AFRICA
Regular Budget Technical Assistance
191 330 12 675
204 005
101 100 16 300
117 400
14Л 500 25 000
1 的 500
AMERICAS
Regular Budget Technical Assistance
313 016 78 370
391 386
227 421 61 785
289 206
263 455 64 486
327 941
SOUTH-EAST ASIA
Regular Budget Technical Assistance
41 205 110 330
151 535
8 900 23 500
32 Д00
Л9 500 29 Д00
78 900
EUROPE
Regular Budget Technical Assistance
384 925 100 855
485 780
Д42 575 150 390
592 965
Л36 335 U 6 050
582 385
EASTERN MEDITERRANEAlî
Regalar Budget Technical Assistance
278 950 27 910
306 860
108 500 89 100
197 600
174 800 90 700
265 500
WESTERN PACIFIC
Regular Budget ‘ Technical Assistance
169 S60 36 095
205 955
171 080 4Л 500
215 580
196 ООО 75 300
271 300
TOTALS
Regular Budget Technical Assistance
1 379 286 366 235
1 059 576 385 575
1 26Л 590 Л30 936
1 7Д5 521 1 Д45 151 1 695 526
PROPOSED PROGRAMME AND BUDGET ESTIMATES FOR 1960: Amounts included for Fellowships for 1958, 1959 and I960, by Region
-959 • • •• 1 19: _ • 'У
8
5 9
ê
APPENDIX 13
page 1
SUMMARY TABLE SHOWING TOTAL BUDGET, INCOME, ASSESSMENTS AND EFFECTIVE WORKING BUDGETS
Total Budget
Deductions
Assessments on Members
Less: Amount of Undistributed Reserve
Assessments on Members for the Effective
Working Budget
(i) Amount reimbursable from the Special Account of the Expanded Programme of Technical Assistance
(ii) Advance from Working Capital
Fund
Add i
1 9 5 8 $
1 5 4 9 5
1 0 8 2 0 0 0
1 4 4 1 1 1 6 0
1 20) 030^
1 9 5 9 $
16 244 800^
1 2 7 9 1 ^ 0
1 4 9 6 5 6 6 0
1 0 7 8 0 6 0 ^
I960 $
1 7 5 7 9 2 9 C A ' -
1 2 2 4 0 0 0
16 355 290^
1 160 590^
1 3 2 0 8 1 3 0 1 3 8 8 7 6 0 0 1 5 1 9 4 7 0 0
(Iii) Casual Income
Total Effective Working Budget
724 000
558 000
7 2 4 0 0 0
1 5 5 1 ^ 0
4 0 0 0 0 0
7 2 4 0 0 0
5 0 0 0 0 0
1 4 2 9 0 1 3 0 1 5 1 6 6 7 4 0 1 6 4 1 8 7 0 0
色 Including administrative and operational services costs previously ^ o w n ^ d e r the l a n d e d Programme of Technical Assistance, and for which a lump sum of $ 724 000 U S S r s a b ï e f ^ m the Special Account of that Programme. Por 1959 only, an amount of T Z T ^ O a d v L a d from the Working Capital Fund to meet unforeseen expenses is included. The reimbursable amounts from the Expanded Programme of Technical S i s t r e sÏÏoi^I Account and the advance Ггош the Worlcing Capital Fund are also shown together with Casual Income for the years concerned.
Equalling the assessments on inactive Members (comprising at the t f ® t hTeT >
1 9 5 8 esti-mates w e r f prepared the Byelorussian SSR, Czechoslovakia, Hungary and the Ukrainian 3sJ) on Sh?nî! L d on the Member which resumed active participation in the work of ？ h e O r g a n S a î L sub 3e quent to the adoption by the Tenth World Health АззешЫу of the Appropriation Resolution for 1958 (WHAIO.38).
^ Eaualling the assessments on inactive Members (comprising at the time the A冗ropri-a u o n H e b r o n for 1959 was adopted by the Eleventh World Health Assembly, the Byelorussian SSR, Hungary and the Ukrainian SSR) and on China.
i These amounts are subject to adjustment if one or шоге M e f ° u l ^ r J S ^ . a c t i V e
participation in the work of the Organization prior to the Twelfth World Health
APPENDIX 12 page 1
SCALES OP ASSESSMENT FOR 1958, 1959 AND I960
MEMBERS
1958 Total Assessments
$ 14 411 160; Total Budget
$ 15 493 I60&
1959 Total Assessments
$ 14 965 ббО; Total Budget
$ 16 244 80C^
I960 Total Assessments
$ 16 355 290忐 Total Budget
$ 17 579 29CÈ
US $ US $ » 1 US $
Afghanistan 7 760 9 320 10 190
Albania 5 760 5 990 6 5斗0
Argentina 177 570 159 670 168 170
Australia 228 620 227 270 270 080
Austria kl 060 48 950 64 970
Belgium 169 800 174 820 196 190 » .�
Bolivia 6 660 8 1б0 6 5^0
Brazil 170 910 149 I80 152 880
Bulgaria 18 870 19 810 22 930
Burraa 12 210 13 990 11 47O
Byelorussian SSR 55 490 65 260 71 340
Cambodia 5 76O 5 990 6 5^0
Canada 425 обо 杯54 730 470 100
Ceylon 12 2X0 15 150 15 290
Chile , 44 390 40 790 39 490
China 709 180 705 110 756 7^0
Costa Rica 5 760 5 990 6 540
Cuba 35 520 56 130 58 220
Czechoslovakia 113 200 115 380 151 220
Denmark 91 ООО 89 740 90 45O
Dominican Republic 5 760 8 I60 . 8 920
Ecuador 5 760 8 I60 10 190
El Salvador 7 760 9 320 8 920
Ethiopia 14 450 15 15О 10 190
Arpendlx 14 page 2
US $
J S20
5斗 780
968-220
806 430
？edera-tic» of B^oáesia and Nyasaland.
Pîabnd:
France t"
1 Оехимту/ federal Republie
Ghana
Greece
g m terna la -
{.Haiti
ЕйоДига»
Hungary
Iceland
India
Iran
Iraq
Ir.eland
Israel
Italy •
Japan
J ordaa« H<iâhemlte KijneAo»
Korea, Republic
Xâns
LebaiWHi
Liberta
Libya
IdtiûorAourg
Malaya, Federation cfi"
US $ US $
> ^ 3 0 5 5ГО
42 170 50 120
760 220 785 210
522 73Ó 585 910
О 120Ï 5"76oS
9 320
25 520 27 970
8 880 9 520
5 760 5 99д
5 760 ‘ 5 990
52 1б0 5 斗 780
5 ТбО 5 990
402 860 407 920
62 150 69 9250
39 950 5б 130
16 650 16 32。
29 970 25 640
19 980 2? 310
275-250 286 710
253 040 269 250
5 760 5 990
5 7бо 5 990
5 760 5 990
5 760 8 16。
5 7б0 5 990
5 760 5 990
7 760 9 320
(28 840) 30 300
MEMBERS
1958 Total Assessments
$ Ik 411 160; Total Budget
$ 15 49? 1бсД
1959 Total Assessments
$ 14 965 660; Total Budget $ 16 244 8002.
I960 Total Assessments
$ 16 355 290广 Total Budget
$ 17 579 290-
10 190
8 920 6 540
б 5杯。
61 150 6 5 吣
372 000
71 540
.31 850
12 7^0
22 93Q-
21 660 540 150
551 230
6 5 奶
6 6-5^0
8 920
6 5 恥
6 5 奶
10 190 25 480
Appendix 14 page 3
MEMBERS
1958 Total Assessments
$ 14 411 l60i Total Budget $ 15 493 160~
1959 Total Assessments
$ 14 965 660; Total Budget
$ 16 244 800包
i960 Total Assessments
$ 16 555 290ñ Total Budget $ 17 579 29也
US $ US $ US $
Mexico 91 000 95 570 107 010
Monaco 5 760 . 5 990 . 6 5^0
Morocco 17 760 16 520 21 660
Nepal 5 76O 5 990 6 540
Netherlands 159 820 157 340 152 880
New Zealand 58 820 59 440 63 700
Nicaragua 5 760 5 990 6 5^0
Nigeriar* 3 ЗЗЮ 5 500 3 820 Norway 64 370 67 600 72 620
Pakistan 77 690 75 7勃 59 880 Panama 5 760 8 1бо 6 540
Paraguay 5 760 5 990 6 54o
Peru 21 090 20 98o 16 560
Philippines 51 O5O 55 94o 64 970
Poland 186 450 290 206 380
Portugal JJ 730 33 800 29 300
Romania 62 150 68 760 52 230 Saudi Arabia
(a) Sierra Leone
8 880 9 520 10 190 Saudi Arabia (a)
Sierra Leone 3 330 5 500 5 820
Spain 149 820 155 010 140 ЗЛО
Sudan 14 430 15 150 10 190
Sweden 206 750 • 201 65O 210 210
Switzerland 137 620 I38 69O 146 5Ю
Thailand 24 410 23 ?10 22 950
Tunisia 5 760 8 160 8 920
Turkey- 91 000 85 08o 87 9Ю
Ukrainian SSR 210 85O 252 910 271 ЗбО
Appendix 10 page 4
MEMBERS
1958 Total Assessments
$ 14 411 160; Total Budget
$ 15 杯9，160^-
1959 Total Assessments
$ зл 965 660j Total Budget
$ 16 244 800^
I960 Total Assessments
$ 16 355 290®: Total Budget
$ 17 579 29C£.
US $ US $ US $
Union of South Africa 106 9杯 400 85 ЗбО
Union of Soviet Socialist Republics 1 593 700 1 916 обо 2 058 750
United Arab Republic 7 ) 250 59 440 妨 410
United Kingdom of Great Britain and Northern Ireland 1 159 750 1 072 250 1 175 880
United States of America 4 666 480 4 744 090 5 185 810
Uruguay 21 090 25 310 17 840
Venezuela 52 160 59 440 75 170
Viet Nam 21 090 25 510 29 ；500 J
Yemen 5 760 5 990 6 540
Yugoslavia 47 730 48 950 53 510 í
Total 14 411 160 14 965 660 16 355 290
—The amount of the total assessments Is subject to adjustment if one or more Members should resume active participation In the work of the Organization prior to the Twelfth World Health Assembly.
h
一 Including administrative and operational services costs previously shown under the Expanded Programme of Technical Assistance, for which a lump sum of $ 724 000 is reimbursable from the Special Account of that programme. The amount for 1959 includes also unforeseen expenses of $ 155 140, met by an advance from the Working Capital Fund.
Associate Member
d ~ In resolution WHA11.7, the Eleventh World Health Assembly fixed the 1958
assessment of Ghana at 8 units 8880). Tho difference ($ 3120) between this assessment and the tentative assessment ($ 5 760) is not included in the total assessments on Members ($ 14 411 l6o) for 1958.
~ In resolution VÍHA9.15, the Ninth World Health Assembly fixed the assessment of Korea for the next five years at the minimum of .0姊 subject to review in 1961.
—The assessment of the Federation of Malaya, which became a Member of WHO in 1958 (resolution WHA11.8 of the Eleventh World Health Assembly), is shown in paren-thesis and is not included in the total assessments on Members ($ 14 411 160) for 1958.
iú^NDIX 15 page 1
1 660
2 590
1 520
Amount
Increase <b 1
Decrease л 4?
Percentage
Decrease Members
Afghanistan Albanie Argentina Australia Austria Belgium . Bolivia • Brazil Bulgaria Burma Byelorussian SSS Cambúdi& Canada Ceylon Chile China Costa Rica Cuba CzeQhoslovakia Denmark Dominican RcpabXic Ecuador El Salvador Ethiopia
INCREASES OR DECREASES BÏ CONTRIBUTIONS OF ÍGM33RS FOR I960 AS COMPARED TO 1959 BI AMOUNTS AND F£RCSNTAGES (BKSED ON FIGURES Ш OFFICIAL ESCORDS NO. 89, 11)
0.3
18,
•7
4,8 33 Л
7 5
V 1
9.
8 8
4
8-
1
_
1 3
i
91 7
5
5
3
7521271
I-Î158 8
7o
685130824,
810 510
7 520 41 250 15 650 20 240
2 820 2 990
5 670 510
32 650 50
7 270 510
1 870 15 080
190 710
1 970
page 2
Amowit Percentage
Members Increase $
Decrease $
Increase Decrease
Federation of Rhodesia & Nyasaland 3 0 0 8.6
Finland 4 350 8.7 France 179 420 22.9 Germanyj Fed. Republic of 217 860 37.3 Ghana 8 1 0 8.7 Greece 6 2)0 22.3 Guatemala ^50 4.8 Haiti 5Ю 8.5 Honduras 5 1 0 8.5 Hungary 6 0 2 0 11.0 Iceland 5 1 0 8.5 India )8 0 7 0 9 0 Indonesia 1 000 1Л Iran 4 460 12.3 Iraq 3 650 22.3 Ireland 2 840 1 1 . 1
Israel 1 780 7.6 Italy • 51 480 17.9 Japan 6 0 0 9 0 22.3 Jordan • . 5Ю 8.5 Korea • . 5Ю 8.5 Laos 5Ю 8.5 Lebanon 7Ю 8.7 Liberia • 5Ю 8.5 Libya 5Ю 8.5 Luxembourg 810 8.7 Malaya 4 970 16.4 Mexico 1 0 8 ) 0 1 1 . 1
Monaco 5Ю 8.5 Morocco • 5 2 1 0 З1.9 Nepal 5Ю 8.5 Netherlands 5 3^0 New Zealand 3 890 6.5 Nicaragua 5Ю 8.5 Nigeria 300 8 . 6
Norway 4 600 6 . 8
Pakistan 1 6 2 3 0
1 660 21.4
Panama •
1 6 2 3 0
1 660 2 0 . 3 Paraguay 5Ю 8.5 Peru 4 5Ю 2 1 . 5 Philippine^ 8 6 6 0 15.5 Poland 8 loo 3 . 8
Portugal 4 670 1 3 . 8 Tiomania 16 830 24.5 Saudi Arabia 810 8.7 Sierra Leone 300 8 . 6
Appendix 1 5 • мГ. • •• I
page 3
15 680 5 020
5Ю
9 5杯0
11 ЗЮ
5 580
10.1
2.2
10. X
19.0
23.9
3pain Sudan Sweden Switzerland Thailand Tunisia Turkey Ukrainian SSR Unicai of South Africa USSR United Arab R&publio United Kingdom United States of America Uruguay Venezuela Viet Nam Yemen Yugoslavia
Amount
Members Increase $
Decrease $
Percentage
Increase Decrease
S
7
0
3 的
8
0
Î
O
O
4
0
6
0
g
3
2
0
仰
5
5
0
39 7
38 &
87
2
8 5 2
76 2
1
6
3
0
9
6
1
1
1
5
5
4
1 4
6 о 7
7 7 d
о
7 7
9 5
7
• ^•»•
•
•
• 參
35 8
2
6 6
98
52488
APPENDIX 16
ESTIMATED GOVERNMENT CONTRIBUTIONS TO WHO-ASSISTED PROJECTS IN THEIR RESPECTIVE COUNTRIES
(Estimated Expenditure, by Region and Country^ under the Regular Budget， the Expanded Programme of Technical Assistance and the Malaria Eradication Special Account, with Estimated Governments Contributions to the
implementation of projects as reported by Ю December 1958)
RF.GÍTT.AR FTTNDS EXPANDED PR0C21ÂMME OF MALARIA ERADICATION туфл т ESTIMA'IED GOVERNMENTS
REGION/COrami •L ULJ VdlU JLUaX t 丄 LiiMl^V^ lECHNIGAL ASSISTANCE SPECIAL ACCOUNT 丄 U JjtiJü CONTRIBUTIONS
1958 1959 .I960 1958 1959 i960 1958 1959 I960 1958 1959 I960 1958 1959 i960
US $ Equivalent AFRICA
Angola, Cape Verde，
Mozambique 42 800 18 400 4 000 9 420 35 828 135 129 52 220 54 228 139 129 570 000 Basutoland 24 550 24 266 17 440 22 650 34 801 41 990 46 916 34 801 37 240 34 132 17 105 Bechuanaland 17 500 23 700 28 347 ‘100 4б0 17 500 23 700 128 807 26 899 42 252 62 219 British East Africa 22 780 27 500 22 780 27 500 76 458 76 458 76 458 Federation of Rhodesia
and Nyasaland 1 700 900 il 500 35 920 5 9S3 15 110 67 393 187 370 52 730 74 276 198 870 79 450 140 000 140 000 French Africa 13 350 1 1 320 37 000 44 675 20 200 62 403 158 365 44 370 99 403 203 040 855 236 644 836 644 836 French Equatorial Africa 609 047 609 047 609 047 French West Africa 2 000 3 000 7 700 19 671 13 568 Э 700 19 67I 16 568 2 327 675 2 759 022 2 759 022 Gambia 8 000 60 030 8 ООО 60 030 84 221 78 357 78 357 Ghana 25 199 36 014 84 318 36 080 60 350 71 267 7 200 35 680 35 315 68 479 132 044 190 900 739 439 732 189 738 189 Kenya 20 000 13 220 48 807 54 020 40 000 51 991 74 020 53 220 100 798 375 383 402 800 294 932 Liberia 103 240 73 736 83 862 35 050 36 133 48 154 19 500 23 645 24 827 157 790 133 514 156 843 191 200 220 4S3 220 488 Mauritius 19 920 28 638 24 827 86 185 75 000 18 681 14 349 106 105 122 319 39 176 231 092 250 270 105 000 Nigeria 70 430 82 206 130 381 76 238 80 900 163 301 146 668 163 106 293 682 1 936 424 1 936 424 1 714 608 Réunion 37 185 37 185 11 430 Seychelles 22 000 10 341 13 596 22 ООО 10 341 13 5；6 4 800 4 800 4 800 Sierra Leone 11 202 27 138 26 970 25 240 16 929 19 503 36 442 44 067 46 473 391 200 531 200 • 80 000 Somaliland Protectorate 18 160 16 300 25 796 1 000 13 286 12 544 19 1б0 29 586 38 340 11 375 11. 875 11 S75 St Helena 20 010 9 997 20 010 9 997 7 714 7 742 , 6 790 Uganda 20 400 32 657 55 141 20 400 32 657 55 141 85 120 435 720 14 000 Zanzibar 10 500 10 500 49 235 43 601 55 877 19 010 18 718 12 046 68 245 72 819 78 423 105 350 105 350 105 350 Inter-Country Programmes 114 885 155 958 16C 507 150 400 161 394 111 739 21 950 92 922 269 161 287 235 410 274 541 407
Appendix 16 page 2
ТМП i lTTT Л T~»TTTVT1~\n EIPAMDED PR0ŒAMME OF MALARIA ERADICATION rrv фЛ 丁
ESTIMATED GOVERNMENTS
REGION/COUNIRY REGULAR FUNDS
TECHNICAL ASSISTANCE SPECIAL ACCOUNT 1U lilL CONTRIBUTIONS
REGION/COUNIRY
. 1 9 5 8 1959 I960 1958 1959 I960 1958 1959 i960 • 1958 1959 i960 1958 1959 I960
US $ Equivale nt THE AMERICAS
Argentina 57 994 55 442 68 823 70 309 62 600 80 592 128 303 118 042 149 415 7 470 378 6 270 378 9 601 378
Bolivia 18 651 19 446 19 429 27 185 31 300 33 504 45 836 50 746 52 933 484 856 484 856 484 856
Brazil 52 862 66 393 65 619 16 757 23 137 21 078 69 619 89 530 86 697 3 450 ООО 3 655 ООО 3 730 ООО
British Guiana and West 460 ООО Indies 19 650 47 455 .53 800 85 826 67 105 53 800 85 826 4б0 ООО 461 ООО 460 ООО
British Honduras 12 800 10 440 26 802 12 800 10 440 26 802 I92 048 120 048 270 048
Chile 46 074 39 386 44 956 12 135 23 300 24 505 58 209 62 686 69 461 825 ООО .825 ООО 1 325 ООО
Colombia 39
126 450 87 460 94 222 126 450 87 4БО 94 222 4 617 932 4 617 932 4 617 932
Costa Rica 225 530 210 530 220 730
Cuba 250 ООО 250 ООО 250 ООО
Dominican Republic 9 862 23 640 25 190 29 644 22 100 23 966 39 506 45 740 49 156 1 252 ООО 1 183 ООО 1 073 ООО
Ecuador 48 288 56 294 71 602 42 363 33 900 44 749 90 651 90 194 116 351 924 774 924 774 942 792
El Salvador 59 418 30 000 44 504 59 418 30 ООО 44 504 717 600 717 600 460 ООО
French Antilles and Guiana 11 711 8 500 7 195 11 711 8 500 7 195 116 ООО 116 ООО 116 ООО
Guatemala 63 094 72 Oil 70 264 26 855 27 900 32 152 89 949 99 911 102 416 1 I67 403 1 410 780 2 634 720
Haiti 48 372 11 899 12 159 52 956 37 400 46 447 101 328 49 299 58 боб 720 ООО 820 ООО 740 ООО
Honduras 67 220 51 0Q0 62 005 67 220 51 ООО 62 005 553 840 625 100 675 100
Mexico 69 357 96 197 108 599 56 816 47 500 52 336 126 173 143 697 1б0 935 4 780 ООО 4 830 ООО 5 290 ООО
Netherlands Antilles and Surinam 8 732 9 900 9 981 8 732 Э 900 9 981 147 500 149 500 149 500
Nicaragua 19 278 38 919 37 927 12 498 31 776 38 919 37 921 408 983 352 080 355 170
Panama 8 085 91 239 72 900 76 486 99 324 72 900 76 486 3 937 093 3 937 093 3 937 093 Paraguay 5 930 11 599 11 085 .75 985 78 700 87 348 81 915 90 m 98 433 1 390 ООО 1 279 050 1 422 270
Peru 24 405 76 653 52 600 57 611 101 058 52 600 57 611 1 155 300 1 181 800 1 201 800 Uruguay- 7 525 6 700 41 669 32 900 36 234 49 194 32 900 42 934 1 500 ООО 1 500 ООО 1 900 ООО
Venezuela 360 20 739 20 360 29 218 21 099 20 360 29 218 7 332 110 548 540 673 167 West Indies Federation 6 603 4 033 10 317 10 636 10 317 677 030 603 250 531 750
Inter-Country Programmes 335 783 355 626 352 706 191 273 175 729 123 213 527 06I 531 355 475 919 1 333 ООО 1 338 ООО 1 383 ООО
Appendix 16 page 3
ОТ?ПТТТ ID тгттлтпс EXPANDED PROGRAMME OF MIARIA ERADICATION гтуЛФД Т ESTIMATED GOVERNMENTS
REGION/COUNEII JtiliLiUIairi r UiMjUo
TECHNICAL ASSISTANCE SPECIAL ACCOUNT 丄。丄üJb CO'NmiBUTIONS
1958 1959 I960 1958 1959 I960 1958 1959 I960 1958 1959 I960 1958 1 9 5 9 ！ I960'
us $ Equivale snt SOUTH-E^ST ASIA
Afghanistan 47 140 54 323 56 492 133 450 140 189 145 263 48 560 56 202 64 726 229 ISO 250 714 266 481 413 388 423 278 432 970 Burma 44 080 42 442 82 419 178 440 175 618 181 560 19 857 20 079 222 5«o 237 917 284 058 162 578 265 980 151 532 Ceylon 29 600 55 286 78 716 90 300 97 085 115 181 120 400 152 371 193 897 142 125 183 263 198 454 India 352 980 384 487 399 657 439 140 438 970 477 591 1 727 350 229 992 204 206 2 519 470 I 053 449 1 081 454 537 148 918 935 1 207 115 Indonesia 90 320 94 813 88 948 275 070 208 552 224 OO6 152 000 364 088 416 517 517 390 667 453 729 471 104 755 149 075 Thailand 57 710 71 524 97 218 91 780 87 467 129 535 4 500 • 153 990 158 991 226 753 872 333 777 296 1 079 341 Inter-Country Programmes 80 290 66 791 16 286 27 800 21 201 60 928 35 500 227 Зв7 123 961 143 590 315 379 201 175
EUROPE
Austria 17 560 14 350 14 950 17 S60 14 350 14 950 U 3 810 122 ООО ‘Х32 500 .France 13 770 12 000 12 550 4 950 4 000 32 003 43 927 IS 72〇、 59 927 44 5 5 3 1 Д5 857 Greece 10 150 11 •300 13 600 8 40C 21 400 17 000 165 083 ХЗО ООО 18 550 198 283 160 600 346 001 355 001 344 251 Italy 12 420 11 200 17 800 12 420 И 200 17 800 64 500 64 ООО 66 ООО Morocco 4 090 7 000 10 500 32 470 39 542 49 268 26 400 3Ó8 292 396 591 62 960 414 834 456 m 1 029 7«4 1 622 655 1 622 655 Portugal 13 19» 18 700 19 200 53 200 53 200 13 190 71 900 72 400 4 000 10 ООО 10 ООО Spain 11 710 14 200 15 700 18 020 19 100 34 891 162 700 157 500 29 730 196 ООО 208 091 26 ООО Turkey 5 900 8 500 19 300 46 69C) 38 775 52 758 35 083 52 590 47 275 107 141 5 262 500 5 260 ООО 5 2 6 2 ООО Inter-Country Prograinmes 403 050 371 565 384 059 53 100 73 100 6S 100 3 000 18 670 464 150 444 665 470 829
•；
.EkSUEÍW MEDITERRANEAN
Aden 3 900 3 900 3 900 3 900 28 ООО Cyprus 3 000 3 000 8 100 5 000 3 000 8 loo 8 ООО 6 ООО 2 044 Ethiopia 1 1 9 540 88 438 92 341 103 500 99 200 101 470 28 460 67 942 58 745 251 500 255 580 252 556 839 351 854 449
. . . » .
Iran 103 380 89 382 71 760 117 650 83 503 87 720 57 600 107 630 99 067 278 630 280 515 258 547 4 Ó25 805 3 398 590 Iraq 78 880 56 911 58 719 96 700 64 484 78 370 19 588 35 107 29 784 195 168 156 502 166 873 1 904 747 1 908 677 1 919 740 Israel 32 080 46 335 46 164 13 180 15 900 20 966 9 500 7 400 54 760 69 635 67 130 59 960- 10 600 Jordan 25 820 19 700 19 356 72 610 62 O66 61 157 14 650 7 462 ‘ 5 513 113 080 89 228 86 026 374 030 275. 440. 151 200 Lebanon 26 340 31 650 22 447 20 140 41 090 42 664 2 000 16 150 12 907 48 4 8 0 88 8 9 0 78 018 281 546 361 546 3 6 3 546 Libya 39 850 32 3 3 3 42 618 70 0 5 0 74 849 74 526 18 860 25 642 12 853 128 760 1 3 2 824 1 2 9 9 9 7 1 6 3 4 4 9 1 6 3 '449 1 6 3 4 5 0
Pakistan 106 990 9 8 1 8 9 9 6 7 4 6 60 3 0 0 5 7 9 7 0 49 525 18 000 445 188 577 086 185 290 60l 347 7 2 3 3 5 7 485 375 59 4 2 0
Somalia 29 250 2 4 1 4 3 32 989 3 000, 21 967 25 7 0 2 1 9 250 1 3 2 1 9 5 1 5 0 0 59 329 58 6 9 1 77. 5 5 0 1 7 5 139
Sudan 85 3 7 0 90 545 7 8 3 3 8 92 8 3 0 7 3 69I 7 6 6 6 1 2 700 6 ООО 55 595 1 8 0 900 170' 2 3 6 2 1 0 5 9 4 96 582 t 96 5 S3 эь 583
Appendix 10 page 4
r , 1 ，
EXPANDED PROGRAMME OF MALARIA ERADICATION ФП ФД т ESTIMATED GOVERNMENTS
REGION/COUNTRY KtÜüULAK FUWUS TECHNICAL ASSISTANCE SPECIAL ACCOUNT : 丄U ШЬ CONTRIBUTIONS
1958 1959 ；i960 . 1 9 5 8 1 9 5 9 ‘-I960 1958 ： 1959 I960 .1958 1959 I960 1958. 1959 I960
US •1 Equivale rit
EASTERN MEDITERRANEAN (continued)
Tunisia 46-800 74 r
797 76 482 65 370 55 116 83 921 31 29O 144 749 116 733 143 460 274 662 277 136 179 381 179 381
United Arab Republic (Egypt) 89 630 93 418 88 396 63 610 44 200 76 511 27 700 60 925 21 509 180 940 198 543 186 416 616
2 4 4 1 591
United Arab Republic (Syria) 46 890 .52 314 53 92乡 45 020 44 072 5 7 819 25 680 22. 452 1 7 116 117 590 118 838 128 864 59 616 59 617
Yemen 5 9 8 0 . 8 0 0 0 10 ООО -47 690 50 200 51 470 53 670 58 200 61 470 15 200 25 200 25 200
Inter-Country Programmes 124 720 191 113 228 596 82 270 82 532 95 987 15 ООО 10 171 8 874 221 990 283 816 333 457
WESTERN PACIFIC
Australia 11 65O 11 0 0 0 11 ООО 11 6$0 11 ООО 11 ООО 2 464 2 464 . , 2 464 British Solomon Islands ‘
208 Protectorate 8 192 8 208 "•5 ООО 8 192 13 208
598 Cambodia 55 027 71 177 84 730 .134 395 147 245 180 7 5 7 19 0 7 0 2 9 108 3 1 939 2 0 8 4 9 2 2 4 7 5 3 0 2 9 7 4 2 6 558 500 598 5 0 0 1 5 3 500:
China 9 1 2 4 0 6 8 256 66 ¿ 5 0 • 85 710 ？6 ООО 119 398 68 330 70 294 72 100 .245 280 214 550 258 148 724 245 494 233 931 782
Fiji • . 30 810 25 235 48 5 ? 1 30 310 25 235 48 591 44 280 56 607 60 807
Japan 24 330 24 000 22 300 11 250 12 ООО 20 100 2 400 37 980 36 ООО 42 400 50 ООО 972 972
Korea 18 900 14 500 28 737 12 500 13 500 45 467 32 400 72 467 28 737 19 ООО 10 ООО 50 ООО
Lacs :9 077 44 645 48 765 35 480 35 244 47 322 44 557 79 889 拎 087 25 ООО 20 ООО
Macao 7 ООО 7 ООО 2 480
Malaya 2 3 1 ^ 0 5 604 34 001 7 1 520 39 050 9 497 4 0 296 94 710 44 654 83 794 49 928 237 789
Netherlands New Guinea 4 400 8 100 10 700 ‘ 4 400 8 100 10 700 213 158 332 250 9 750
New Zealand Э 900 5 500 9 900 5 500 60
4 200
North Borneo 27 170 25 733 29 873 27 170 25 733 29 873 60 ООО 102 ООО 976 Papua and New Guinea 7 000 7 300 12 ООО 7 ООО 7 зоо 12 ООО 2 688 6 272 10 976
Philippines 63 680 63 888 66 042 67 470 50 200 61 517 362 ООО 640 500 1 043 500 493 150 759 588 1 171 059 1 262 017 2 016 720 2 017 420
Sarawak 39 640 42 ООО 45 443 150 ООО 39 640 42 ООО 195 443 250 ООО 250 ООО 250 ООО
Singapore 22 170 24 949 18 778 57 285 40 ООО 31 880 79 455 64 949 50 658 546 884 569 722 200 ООО
Timor 4 500 4 500 1 800
Tonga 1 000 2 900 18 865 20 514 18 432 19 865 23 414 18 432 42 ООО 42 ООО
Trust Territory of the 500 ！ Pacific Islands 3 500 3 5.00 3 500
“Viet Nam 1 7 86O 22 6 4 1 3 3 374 47 570 7 3 547 118 4 3 8 5 ООО 31 7 8 3 2 7 170 70 430 1 2 7 971 178 9 8 2 830 880 881 447 9 0 7 260 Inter-Country Programmes 79 530 155 2 5 7 152 8 3 7 2 4 365 47 884 6 1 860 1 6 220 52 459 4 7 568 120 115 255 600 2 62 265
Inter-Regional and Other 620 1 296 065 Activities 493 350 540 386 586 106 31 127 113 460 538 270 725 438 1 330 m 1 031 620 1 296 951 2 030 065
C H A R T
DISTRIBUTION OF RESPONSIBILITIES AT HEADQUARTERS OH 31. 12. 58
CONSOLIDATION OF HEALTH STATISTICS
HEALTH STATISTICAL METHODOLOGY
© ①
P. M. KAUL
M. P. SIEGEL
N. ,1. GRASHCHENKOV
PUBLIC HEALTH EDUCATION AND
TRAINING
• MENTAL HEALTH
LIAISON WITH UNITED NATIONS
O F F I C E OF T H E D I R E C T O R - G E N E R A L
JOINT MEDICAL SERVICE
RADIATION AND
PLANNING
PROGRAMME
DIVISION OF COMMUNICABLE
DISEASES
I DIVISION OF
IUDCET AND FINANCE E
L
OF爪HTNE
ONOH
ISIISTACER
OIMAAND
DIVISION ОГ MALARIA
ERADICATION
DIVISION OF ENVIRONMENTS
SANITATION
DIVISION OF EDUCATION AND
TRAINING
DIVISION OF ORGANIZATION OF PUBLIC HEALTH
SERVICES
EDUCATION IN MEDICINE AND LLIED SUBJECT
PUBLIC-HEALTH ADMINISTRATION
DISEASE： IEMATOSI
INDEMO-EPID DISEASE!
CHART 2
PROPOSED USE OF 1960 REGULAR BUDGET, BY PERCENTAGES
Administrat ive Serv i ces Oraanizational Meetings 9.86% 2.80Й
CHART 3
APPROVED USE OF 1959 REGULAR BUDGET, BY PERCENTAGES
Reimbursement of Working Capita l Fund
0.66% Organizational Meetings
2.90%
Administrat ive Serv ices 9.77%
Operating Programme 86.67%
WHO 8644
CHART 4
ESTIMATED EXPENDITURE UNDER THE REGULAR BUDGET FOR 1958 AS COMPARED WITH THE APPROVED 1959 AND THE PROPOSED 1960 ESTIMATES
Reimbursement of Working Capital Fund
Administrative Services
Operating Programme
Organizational Meetings
丨 1 4 1 5 7 9 2 2
1 2 1 7 5 2 8 2
inn nnn 1 5 1 6 6 7 4 0
1 3 1 4 5 2 3 8
1958 1959
1 6 4 1 8 7 0 0
1 4 3 3 9 5 3 8 :
1960 WHO 8637
CHART 5
1959 1960
THE AMERICAS
1959 1960
SOUTH-EAST ASIA
1959 1960
EUROPE
1959 1960 EASTERN
MEDITERRANEAN
1959 1960
WESTERN PACIFIC 1959 1960
AFRICA
Inter Country Programmes
Others
Regional Offices
Field Activities
BREAKDOWN OF ESTIMATED NET COSTS OF REGIONAL ACTIVITIES, IN 1959 AND 1960 UNDER THE REGULAR BUDGET
US $ thousand U S ^tbousond . . . . 1 ЯПП
CHART 6
PROPOSED USE OF FUNDS UNDER THE REGULAR BUDGET, THE EXPANDED PROGRAMME OF TECHNICAL ASSISTANCE AND THE MALARIA ERADICATION SPECIAL ACCOUNT IN I960, BY PERCENTAGES
Administrat ive Serv ices Organizational Meetings 6.01% 1.62%
Operating Programme 92.37%
WHO 86t7
CHART 7
APPROVED USE OF FUNDS UNDER THE REGULAR BUDGET, THE EXPANDED PROGRAMME OF TECHNICAL ASSISTANCE AND THE MALARIA ERADICATION SPECIAL ACCOUNT IN 1959, BY PERCENTAGES
Reimbursement of Working Capi ta l Fund
0.39%
Administrat ive Serv ices 6.07%
Organizat ional Meetings 1.70%
Operating Programme 91.84%
CHART 8
1954 1955 1956 1957 1958 1959
' / / / " ‘ / / / "
‘/ / / /人
/ / / / у
1960 WHO 8629
R e g u l a r F u n d s _ ^ ^ Malaria Eradication ^ ^ Special Account
^ ' ' / / / / Л Expanded Programme of \/ / у / у л Technical Assistance
Costs reimbursed by UNICEF for jointly assisted UNICEF/WHO projects in 1954, 1955, 1956 and 1957
OBLIGATIONS INCURRED 1954 TO 1957 AND ESTIMATED EXPENDITURE FOR 1958, 1959 AND 1960 FROM FUNDS ADMINISTERED BY WHO (THE REGULAR BUDGET, THE MALARIA ERADICATION SPEC IAL ACCOUNT AND THE EXPANDED PROGRAMME OF TECHNICAL ASSISTANCE)
US $ mil l ion
CHART 9 T O T A L FUNDS DEVOTED OR E X P E C T E D TO B E DEVOTED TO INTERNATIONAL H E A L T H PROGRAMMES FOR THE Y E A R S 1954-1959 FROM A L L SOURCES
WHO 9028
j： ： ： ： ： ： ：| Funds administered by WHO
Other Sources: I；.；.；.；.；.；.；.；.；.j (a) UNICEF (funds allocated or expected to be al located t::::::::::::::X:l for Supplies and equipment)
(b) РАНО (including Special Malaria Fund)
lili (О Various