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FINANCING DIALOGUE<br />

Investing in the World’s Health Organization<br />

WHO’s Financing Dialogue 2016<br />

A proposal for increasing the <strong>assessed</strong> <strong>contribution</strong><br />

Ensuring sustainable financing for WHO<br />

INTRODUCTION<br />

1. WHO is the world’s directing and coordinating authority on international health. Its mission is<br />

to promote and protect the health of all peoples.<br />

2. WHO's work is financed through dues paid by Member States to the Organization (<strong>assessed</strong><br />

<strong>contribution</strong>s) and through voluntary <strong>contribution</strong>s from Member States, international organizations<br />

and non-State actors. A small part of voluntary <strong>contribution</strong>s and the <strong>assessed</strong> <strong>contribution</strong>s make up<br />

the flexible resources of the Organization.<br />

3. When WHO was created in 1948, the intention was for it to be funded principally from the<br />

<strong>assessed</strong> <strong>contribution</strong> to enable the Organization to meet its primary mandate as a normative and<br />

technical agency. Although voluntary <strong>contribution</strong>s, intended for special programmes, started growing<br />

during the late 1970s, <strong>assessed</strong> <strong>contribution</strong>s were the predominant source of financing for the<br />

programme budget until the late 1990s.<br />

4. Over the past decade, the total financing of the Organization has increased significantly. The<br />

increase in total financing has been mainly driven by voluntary <strong>contribution</strong>s, which are largely<br />

specified to certain areas of the programme budget.<br />

5. In the past 10 years, the <strong>assessed</strong> <strong>contribution</strong> from Member States has been stable nominally.<br />

This means that, with voluntary <strong>contribution</strong>s increasing during the same period, the proportion of the<br />

programme budget financed from <strong>assessed</strong> <strong>contribution</strong>s has declined over time.<br />

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FINANCING DIALOGUE<br />

Investing in the World’s Health Organization<br />

Figure 1. Trends in WHO financing, <strong>assessed</strong> <strong>contribution</strong>s and voluntary <strong>contribution</strong>s 1998–2017<br />

6. At same time, the International Monetary Fund projects cumulative global inflation for the<br />

period 2010-2017 at 30.4%, with the annual average being 3.8%. 1<br />

7. The stagnant level of <strong>assessed</strong> <strong>contribution</strong>s and the resulting decline in the proportion they<br />

fund out of the total budget is a cause of concern for the sustainability of the Organization. Reversing<br />

this trend is important for securing the future of the world’s health organization.<br />

8. Therefore, the Director-General is proposing to raise the <strong>assessed</strong> <strong>contribution</strong> by 10%,<br />

which represents a total increase of US$ 93 million. This is in line with the recommendations of<br />

the United Nations High-level Panel on the Global Response to Health Crises. 2<br />

What does WHO use <strong>assessed</strong> <strong>contribution</strong>s for?<br />

9. The Organization currently receives a total of US$ 929 million in <strong>assessed</strong> <strong>contribution</strong>s. These<br />

finance only 20% of the programme budget.<br />

10. Under the new financing model of the Organization, <strong>assessed</strong> <strong>contribution</strong>s are mainly used for<br />

the following:<br />

(a) Providing the funding to sustain the governing body mechanisms, the Secretariat’s<br />

leadership structure, at global, regional and country levels. Assessed <strong>contribution</strong>s are a<br />

main source of funding for the backbone of the Organization, namely governance and leadership<br />

functions, including the salaries of the Director-General, the regional directors and WHO<br />

representatives in countries, and enable WHO to maintain its presence in more than 150<br />

countries, which is a significant asset for bringing WHO’s support closer to where it matters.<br />

2 http://www.un.org/News/dh/infocus/HLP/2016-02-05_Final_Report_Global_Response_to_Health_Crises.pdf<br />

(accessed 19 October 2016).<br />

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FINANCING DIALOGUE<br />

Investing in the World’s Health Organization<br />

(b) Maintaining an effective and efficient management and administration. Assessed<br />

<strong>contribution</strong>s pay a portion of the cost of keeping the Organization operating by funding in part<br />

the management and administrative functions, including finance, human resource management<br />

and security. Assessed <strong>contribution</strong>s are used to fund the functions that promote and improve<br />

accountability for resources, transparency and ensure that sufficient control functions are in<br />

place.<br />

(c) Promoting the alignment of resources to the Organization’s priorities. The strategic<br />

allocation of flexible resources allows the Director-General to compensate for insufficient<br />

alignment of specified voluntary <strong>contribution</strong>s with the priorities decided collectively by the<br />

Member States. Assessed <strong>contribution</strong>s have become the life-blood of several core programme<br />

areas and a catalyst in others. For example, the new Health Emergencies Programme has<br />

received so far funding of about US$ 60 million from <strong>assessed</strong> <strong>contribution</strong>s in 2016 along with<br />

additional flexible resources.<br />

11. How much <strong>assessed</strong> <strong>contribution</strong>s are used for those areas and functions is illustrated in Figure<br />

2. Assessed <strong>contribution</strong>s are important as the main funding source for these critical areas and<br />

functions. More than half the total <strong>assessed</strong> <strong>contribution</strong> is dedicated to technical programmes’<br />

priorities to meet their core needs in carrying out their normative, policy and coordination functions.<br />

Figure 2. Expenditures from <strong>assessed</strong> <strong>contribution</strong>, 2014-2015 (in US$ million)<br />

Why does WHO need an increase in <strong>assessed</strong> <strong>contribution</strong>s?<br />

12. There are at least four reasons why an increase in <strong>assessed</strong> <strong>contribution</strong>s is vital:<br />

(a) Ensuring security for critical programmes/functions. With only about 20% financing of<br />

the programme budget coming from <strong>assessed</strong> <strong>contribution</strong>s, WHO is highly vulnerable to<br />

fluctuations in voluntary <strong>contribution</strong>s. One of the hard lessons from the Ebola crisis was that<br />

WHO needs to retain a sufficient core capacity and readiness to respond even before an event<br />

becomes a health emergency with the speed and scale that is necessary. This ability had been<br />

reduced severely when the voluntary <strong>contribution</strong>s dropped remarkably in the biennium 2010-<br />

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

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FINANCING DIALOGUE<br />

Investing in the World’s Health Organization<br />

including the way its work is financed. Stable and flexible financing is essential to secure its<br />

core capacity to be able to withstand any unforeseen crises.<br />

(b) Strengthening the leverage value of <strong>assessed</strong> <strong>contribution</strong>s. Since 2014, <strong>assessed</strong><br />

<strong>contribution</strong>s are not appropriated in advance, but Member States approve the budget in its<br />

entirety. This fundamental change has allowed a more strategic use of <strong>assessed</strong> <strong>contribution</strong>s.<br />

The Secretariat has been better able to correct the misalignment between financing and the<br />

priorities of Member States; it is achieving this by distributing part of the <strong>assessed</strong> <strong>contribution</strong>s<br />

to priorities that receive less funding through voluntary <strong>contribution</strong>s. With the operational<br />

capacity being secured through <strong>assessed</strong> <strong>contribution</strong>s, WHO’s programmes are in a better<br />

position to leverage other resources for achieving their intended results. Annex 2 shows the<br />

programme areas that rely most on <strong>assessed</strong> <strong>contribution</strong>s in the previous biennium.<br />

(c) Safeguarding the gains achieved when programmatic priorities change. Public health<br />

investments in certain programmes have far-reaching implications for other programmes and<br />

systems. However, some donor-based investments are time-limited, particularly when the<br />

specific results are achieved or donors’ priorities or circumstances changes. Perhaps the most<br />

pressing example is the inevitable reduction in investments for the polio eradication programme<br />

in the next few years. The strong capacity and networks of disease surveillance, health planning,<br />

immunization and community mobilization built through the polio eradication programme in<br />

countries have provided the anchor for the operations of many other programmes. Assessed<br />

<strong>contribution</strong>s will be crucial to safeguard these capacities, skills and systems in order to sustain<br />

the gains made in all programmes.<br />

(d) Making strategic, multi-year investments. The uniquely stable nature of <strong>assessed</strong><br />

<strong>contribution</strong>s will enable the Organization to make commitments on important agenda,<br />

resolutions and strategies that will require significant initial and multi-year investments. This is<br />

important as the world moves towards the implementation of the 2030 Agenda for Sustainable<br />

Development, in which WHO plays a pivotal role. WHO will need <strong>assessed</strong> <strong>contribution</strong>s to<br />

build capacity in certain areas that will leverage longer-term support needed in research and<br />

development, global advocacy, individual country support for implementing the Sustainable<br />

Development Goals, especially Goal 3 (Ensure healthy lives and promote well-being for all at<br />

all ages).<br />

How will the increase in <strong>assessed</strong> <strong>contribution</strong>s be used?<br />

13. If agreed, the increase in <strong>assessed</strong> <strong>contribution</strong>s of US$ 93 million for the biennium 2018-2019<br />

will achieve the following results.<br />

14. The additional <strong>assessed</strong> <strong>contribution</strong>s will enable the Organization to implement the agreed plan<br />

for its transformation into an agency that is more operational and ready at all times to mount a rapid<br />

response to health emergencies.<br />

15. The additional <strong>assessed</strong> <strong>contribution</strong>s will immediately have an impact on the financing levels<br />

of the chronically underfunded areas, such as noncommunicable diseases, health and the environment,<br />

and nutrition. These areas struggle to generate good momentum for implementation at the beginning<br />

of the biennium owing to the lack of predictable and stable funding.<br />

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FINANCING DIALOGUE<br />

Investing in the World’s Health Organization<br />

16. It will build staff capacity in the underfunded areas that have recently been declared by Member<br />

States as global priorities, such as antimicrobial resistance, dementia, and ageing and health. Initial<br />

funding from <strong>assessed</strong> <strong>contribution</strong>s will be useful to establish WHO’s capacity, which could then be<br />

used to lever greater support from national and international sources.<br />

17. It will help to buy global public goods that require sustained investments over time. For<br />

example, WHO will be able to engage in creating public health innovations that are otherwise not<br />

picked up by commercial interests, strengthen its role as guardian of the implementation of the<br />

International Health Regulations (2005), and build alert systems that contribute to global health<br />

security.<br />

18. Finally, increased <strong>assessed</strong> <strong>contribution</strong>s will allow WHO to make investments in strengthening<br />

its country presence, especially in highly vulnerable countries. For example, WHO offices in countries<br />

such as Nigeria will need additional <strong>assessed</strong> <strong>contribution</strong>s to sustain the unprecedented gains in polio<br />

eradication and help to retain the country capacity built through funding for polio eradication to<br />

benefit other programmes, such as health emergencies, health systems strengthening and disease<br />

surveillance. Additional <strong>assessed</strong> <strong>contribution</strong>s will help to retain sufficient human resource capacity<br />

that will help to leverage resources from domestic sources and partners.<br />

How will WHO use <strong>assessed</strong> <strong>contribution</strong>s responsibly?<br />

19. Through a combination of measures implemented in the WHO reform, the Organization is in a<br />

better position to optimize the value of the <strong>assessed</strong> <strong>contribution</strong> and ensure the proper use of<br />

resources entrusted to WHO. WHO has made significant progress in the following areas.<br />

20. Stewardship for better results. WHO continues to strengthen its stewardship for better results.<br />

The programmatic reforms have led to improvements in accountability for results through better<br />

defining the results chain and improved priority-setting. The Organization continues to improve its<br />

priority-setting through a robust and consultative process for developing the programme budget, with<br />

engagement of Member States, partners and all levels of the Organization. Through this process, all<br />

offices narrow down the focus of their work to a limited set of priorities. For the biennium 2018-2019,<br />

more than 75% of country offices have allocated 80% of their budgets to up to 10 priority<br />

programmes. WHO will make sure that <strong>assessed</strong> <strong>contribution</strong>s are used for delivering results,<br />

especially at country level. It will report results in a transparent and timely manner.<br />

21. Improved accountability, transparency and control measures. Internal control and<br />

accountability frameworks are now being implemented across the Organization, encompassing all<br />

processes that have financial and human resources consequences. There is an accountability compact<br />

between the Director-General and Assistant Directors-General, and Letters of Representation for<br />

Regional Directors have been published. Compliance functions have been established in all major<br />

offices and an Organization-wide risk management system is in place. The Organization has made<br />

significant gains in ensuring transparency through innovations such as the programme budget web<br />

portal, the joint reporting of the financial situation and programmatic achievements, and independent<br />

corporate evaluations. WHO will be joining the International Aid Transparency Initiative in November<br />

this year. The Secretariat is ensuring that Member States are able to track how resources are<br />

spent and what results are being achieved in a much more transparent way.<br />

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FINANCING DIALOGUE<br />

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22. Delivering value-for-money. Facing constraints on its resources, WHO has made substantial<br />

efforts to find most efficient ways for delivering its work. Evidence of this is the reduction in<br />

expenditure on staff (the biggest expenditure item in WHO) as a proportion of the overall expenditure<br />

by about 10% over the past six years. Several cost-saving measures with longer-term impact have been<br />

implemented, such as the relocation of corporate-wide services on finance, human resources and<br />

information technology to Malaysia and Hungary, at lower staff costs than Geneva. Travel ceilings<br />

have been established across all offices to cap travel costs and promote the use of technology in order<br />

to deliver the work more efficiently. Measures to improve economies of scale and to avoid<br />

duplication, including harmonized, globally shared information technology products and better<br />

coordinated procurement planning, have been strengthened. This demonstrates that the Organization is<br />

maximizing the use of the <strong>assessed</strong> <strong>contribution</strong>s available for delivering results and will continue to<br />

do so.<br />

23. The Secretariat is currently developing a comprehensive and detailed value-for-money<br />

plan to be submitted to the Executive Board in 2018. This will include further plans to reduce costs<br />

associated with meetings and travel, among other measures that yield high efficiencies and lower<br />

administrative costs across the enabling functions and technical programmes.<br />

How much more will individual Member States pay?<br />

24. The 10% increase proposed will amount to an increase of US$ 93 million; the <strong>contribution</strong>s<br />

will be apportioned to Member States on the basis of the scale of assessments adopted by the<br />

Health Assembly in May 2016. 1<br />

25. Even with the proposed 10% increase in <strong>assessed</strong> <strong>contribution</strong>s, about 40 countries will see a<br />

decrease in their <strong>contribution</strong>s in future years compared to their 2016 assessment when the new scale<br />

of assessment is applied, starting in 2017.<br />

26. Figure 3 illustrates the impact of the increase in <strong>assessed</strong> <strong>contribution</strong>s to the 20 countries with<br />

largest expected increase in their 2018 <strong>assessed</strong> <strong>contribution</strong>s as compared to 2016.<br />

1 Resolution WHA69.14, available at: http://apps.who.int/gb/ebwha/pdf_files/WHA69/A69_R14-en.pdf (accessed<br />

19 October 2016).<br />

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FINANCING DIALOGUE<br />

Investing in the World’s Health Organization<br />

Figure 3. Countries with largest expected increase in their <strong>assessed</strong> <strong>contribution</strong>s for year 2018<br />

(in US$ million)<br />

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FINANCING DIALOGUE<br />

Investing in the World’s Health Organization<br />

ANNEX 1<br />

Assessed <strong>contribution</strong>s by Member State and Associate Member showing<br />

the 10% increase in 2018 and 2019<br />

(All amounts are in US$)<br />

Top contributors 2016 2017 2018<br />

Assessed<br />

<strong>contribution</strong>s<br />

difference<br />

between<br />

2018 and 2016 2019<br />

Afghanistan 23 230 27 870 30 657 7 427 30 657<br />

Albania 46 450 37 160 40 876 (5 574) 40 876<br />

Algeria 636 370 747 850 822 635 186 265 822 635<br />

Andorra 37 160 27 870 30 657 (6 503) 30 657<br />

Angola 46 450 46 450 51 095 4 645 51 095<br />

Antigua and Barbuda 9 290 9 290 10 219 929 10 219<br />

Argentina 2 006 640 4 143 340 4 557 674 2 551 034 4 557 674<br />

Armenia 32 520 27 870 30 657 (1 863) 30 657<br />

Australia 9 634 200 10 855 830 11 941 412 2 307 212 11 941 412<br />

Austria 3 707 180 3 344 871 3 679 358 (27 822) 3 679 358<br />

Azerbaijan 185 800 278 700 306 570 120 770 306 570<br />

Bahamas 78 970 65 030 71 533 (7 437) 71 533<br />

Bahrain 181 160 204 380 224 818 43 658 224 818<br />

Bangladesh 46 450 46 450 51 095 4 645 51 095<br />

Barbados 37 160 32 520 35 772 (1 388) 35 772<br />

Belarus 260 120 260 120 286 132 26 012 286 132<br />

Belgium 4 636 180 4 111 291 4 522 420 (113 760) 4 522 420<br />

Belize 4 650 4 650 5 115 465 5 115<br />

Benin 13 940 13 940 15 334 1 394 15 334<br />

Bhutan 4 650 4 650 5 115 465 5 115<br />

Bolivia (Plurinational State 41 810 55 740 61 314 19 504 61 314<br />

of)<br />

Bosnia and Herzegovina 78 970 60 390 66 429 (12 541) 66 429<br />

Botswana 78 970 65 030 71 533 (7 437) 71 533<br />

Brazil 13 629 360 17 758 770 19 534 647 5 905 287 19 534 647<br />

Brunei Darussalam 120 770 134 700 148 170 27 400 148 170<br />

Bulgaria 218 320 209 030 229 933 11 613 229 933<br />

Burkina Faso 13 940 18 580 20 438 6 498 20 438<br />

Burundi 4 650 4 650 5 115 465 5 115<br />

Cabo Verde 4 650 4 650 5 115 465 5 115<br />

Cambodia 18 580 18 580 20 438 1 858 20 438<br />

Cameroon 55 740 46 450 51 095 (4 645) 51 095<br />

Canada 13 861 604 13 568 505 14 925 355 1 063 751 14 925 355<br />

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FINANCING DIALOGUE<br />

Investing in the World’s Health Organization<br />

Top contributors 2016 2017 2018<br />

Assessed<br />

<strong>contribution</strong>s<br />

difference<br />

between<br />

2018 and 2016 2019<br />

Central African Republic 4 650 4 650 5 115 465 5 115<br />

Chad 9 290 23 230 25 553 16 263 25 553<br />

Chile 1 551 430 1 853 350 2 038 685 487 255 2 038 685<br />

China 23 914 320 36 793 969 40 473 365 16 559 045 40 473 365<br />

Colombia 1 203 060 1 495 690 1 645 259 442 199 1 645 259<br />

Comoros 4 650 4 650 5 115 465 5 115<br />

Congo 23 230 27 870 30 657 7 427 30 657<br />

Cook Islands 4 650 4 650 5 115 465 5 115<br />

Costa Rica 176 510 218 320 240 152 63 642 240 152<br />

Côte d’Ivoire 51 100 41 810 45 991 (5 109) 45 991<br />

Croatia 585 270 459 860 505 846 (79 424) 505 846<br />

Cuba 320 510 301 920 332 112 11 602 332 112<br />

Cyprus 218 320 199 740 219 714 1 394 219 714<br />

Czechia 1 792 970 1 597 880 1 757 668 (35 302) 1 757 668<br />

Democratic People’s 27 870 23 230 25 553 (2 317) 25 553<br />

Republic of Korea<br />

Democratic Republic of the 13 940 37 160 40 876 26 936 40 876<br />

Congo<br />

Denmark 3 135 380 2 712 680 2 983 948 (151 432) 2 983 948<br />

Djibouti 4 650 4 650 5 115 465 5 115<br />

Dominica 4 650 4 650 5 115 465 5 115<br />

Dominican Republic 209 030 213 670 235 037 26 007 235 037<br />

Ecuador 204 380 311 210 342 331 137 951 342 331<br />

Egypt 622 430 706 040 776 644 154 214 776 644<br />

El Salvador 74 320 65 030 71 533 (2 787) 71 533<br />

Equatorial Guinea 46 450 46 450 51 095 4 645 51 095<br />

Eritrea 4 650 4 650 5 115 465 5 115<br />

Estonia 185 800 176 510 194 161 8 361 194 161<br />

Ethiopia 46 450 46 450 51 095 4 645 51 095<br />

Fiji 13 940 13 940 15 334 1 394 15 334<br />

Finland 2 410 760 2 118 120 2 329 932 (80 828) 2 329 932<br />

France 28 163 070 24 752 260 27 227 486 (935 584) 27 227 486<br />

Gabon 92 900 78 970 86 867 (6 033) 86 867<br />

Gambia 4 650 4 650 5 115 465 5 115<br />

Georgia 32 520 37 160 40 876 8 356 40 876<br />

Germany 33 172 630 29 677 840 32 645 624 (527 006) 32 645 624<br />

Ghana 65 030 74 320 81 752 16 722 81 752<br />

Greece 2 963 510 2 187 800 2 406 580 (556 930) 2 406 580<br />

Grenada 4 650 4 650 5 115 465 5 115<br />

Guatemala 125 420 130 060 143 066 17 646 143 066<br />

Guinea 4 650 9 290 10 219 5 569 10 219<br />

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FINANCING DIALOGUE<br />

Investing in the World’s Health Organization<br />

Top contributors 2016 2017 2018<br />

Assessed<br />

<strong>contribution</strong>s<br />

difference<br />

between<br />

2018 and 2016 2019<br />

Guinea-Bissau 4 650 4 650 5 115 465 5 115<br />

Guyana 4 650 9 290 10 219 5 569 10 219<br />

Haiti 13 940 13 940 15 334 1 394 15 334<br />

Honduras 37 160 37 160 40 876 3 716 40 876<br />

Hungary 1 235 570 747 850 822 635 (412 935) 822 635<br />

Iceland 125 420 106 830 117 513 (7 907) 117 513<br />

India 3 093 570 3 423 370 3 765 707 672 137 3 765 707<br />

Indonesia 1 607 170 2 341 080 2 575 188 968 018 2 575 188<br />

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

Iraq 315 860 599 210 659 131 343 271 659 131<br />

Ireland 1 941 610 1 556 080 1 711 688 (229 922) 1 711 688<br />

Israel 1 839 420 1 997 350 2 197 085 357 665 2 197 085<br />

Italy 20 662 360 17 410 390 19 151 429 (1 510 931) 19 151 429<br />

Jamaica 51 100 41 810 45 991 (5 109) 45 991<br />

Japan 50 322 850 44 964 440 49 460 884 (861 966) 49 460 884<br />

Jordan 102 190 92 900 102 190 – 102 190<br />

Kazakhstan 562 050 887 200 975 920 413 870 975 920<br />

Kenya 60 390 83 610 91 971 31 581 91 971<br />

Kiribati 4 650 4 650 5 115 465 5 115<br />

Kuwait 1 268 090 1 323 820 1 456 202 188 112 1 456 202<br />

Kyrgyzstan 9 290 9 290 10 219 929 10 219<br />

Lao People’s Democratic 9 290 13 930 15 323 6 033 15 323<br />

Republic<br />

Latvia 218 320 232 250 255 475 37 155 255 475<br />

Lebanon 195 090 213 670 235 037 39 947 235 037<br />

Lesotho 4 650 4 650 5 115 465 5 115<br />

Liberia 4 650 4 650 5 115 465 5 115<br />

Libya 659 590 580 630 638 693 (20 897) 638 693<br />

Lithuania 339 090 334 440 367 884 28 794 367 884<br />

Luxembourg 376 250 297 280 327 008 (49 242) 327 008<br />

Madagascar 13 940 13 940 15 334 1 394 15 334<br />

Malawi 9 290 9 290 10 219 929 10 219<br />

Malaysia 1 305 250 1 495 690 1 645 259 340 009 1 645 259<br />

Maldives 4 650 9 290 10 219 5 569 10 219<br />

Mali 18 580 13 930 15 323 (3 257) 15 323<br />

Malta 74 320 74 320 81 752 7 432 81 752<br />

Marshall Islands 4 650 4 650 5 115 465 5 115<br />

Mauritania 9 290 9 290 10 219 929 10 219<br />

Mauritius 60 390 55 740 61 314 924 61 314<br />

Mexico 8 556 560 6 666 040 7 332 644 (1 223 916) 7 332 644<br />

Micronesia (Federated 4 650 4 650 5 115 465 5 115<br />

States of)<br />

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FINANCING DIALOGUE<br />

Investing in the World’s Health Organization<br />

Top contributors 2016 2017 2018<br />

Assessed<br />

<strong>contribution</strong>s<br />

difference<br />

between<br />

2018 and 2016 2019<br />

Monaco 55 740 46 450 51 095 (4 645) 51 095<br />

Mongolia 13 940 23 230 25 553 11 613 25 553<br />

Montenegro 23 230 18 580 20 438 (2 792) 20 438<br />

Morocco 287 990 250 830 275 913 (12 077) 275 913<br />

Mozambique 13 940 18 580 20 438 6 498 20 438<br />

Myanmar 46 450 46 450 51 095 4 645 51 095<br />

Namibia 46 450 46 450 51 095 4 645 51 095<br />

Nauru 4 650 4 650 5 115 465 5 115<br />

Nepal 27 870 27 870 30 657 2 787 30 657<br />

Netherlands 7 683 300 6 884 360 7 572 796 (110 504) 7 572 796<br />

New Zealand 1 175 190 1 244 860 1 369 346 194 156 1 369 346<br />

Nicaragua 13 940 18 580 20 438 6 498 20 438<br />

Niger 9 290 9 290 10 219 929 10 219<br />

Nigeria 418 050 970 810 1 067 891 649 841 1 067 891<br />

Niue 4 650 4 650 5 115 465 5 115<br />

Norway 3 953 360 3 944 071 4 338 478 385 118 4 338 478<br />

Oman 473 790 524 890 577 379 103 589 577 379<br />

Pakistan 394 830 431 985 475 184 80 353 475 184<br />

Palau 4 650 4 650 5 115 465 5 115<br />

Panama 120 770 157 930 173 723 52 953 173 723<br />

Papua New Guinea 18 580 18 580 20 438 1 858 20 438<br />

Paraguay 46 450 65 030 71 533 25 083 71 533<br />

Peru 543 470 631 720 694 892 151 422 694 892<br />

Philippines 715 330 766 430 843 073 127 743 843 073<br />

Poland 4 278 510 3 906 911 4 297 602 19 092 4 297 602<br />

Portugal 2 185 714 1 804 820 1 985 302 (200 412) 1 985 302<br />

Puerto Rico 4 650 4 650 5 115 465 5 115<br />

Qatar 970 810 1 249 510 1 374 461 403 651 1 374 461<br />

Republic of Korea 9 262 600 9 471 620 10 418 782 1 156 182 10 418 782<br />

Republic of Moldova 13 940 18 580 20 438 6 498 20 438<br />

Romania 1 049 770 854 680 940 148 (109 622) 940 148<br />

Russian Federation 11 325 440 14 344 690 15 779 159 4 453 719 15 779 159<br />

Rwanda 9 290 9 290 10 219 929 10 219<br />

Saint Kitts and Nevis 4 650 4 650 5 115 465 5 115<br />

Saint Lucia 4 650 4 650 5 115 465 5 115<br />

Saint Vincent and the<br />

Grenadines 4 650 4 650 5 115 465 5 115<br />

Samoa 4 650 4 650 5 115 465 5 115<br />

San Marino 13 940 13 940 15 334 1 394 15 334<br />

11


FINANCING DIALOGUE<br />

Investing in the World’s Health Organization<br />

Top contributors 2016 2017 2018<br />

Assessed<br />

<strong>contribution</strong>s<br />

difference<br />

between<br />

2018 and 2016 2019<br />

Sao Tome and Principe 4 650 4 650 5 115 465 5 115<br />

Saudi Arabia 4 013 750 5 323 641 5 856 005 1 842 255 5 856 005<br />

Senegal 27 870 23 230 25 553 (2 317) 25 553<br />

Serbia 185 800 148 640 163 504 (22 296) 163 504<br />

Seychelles 4 650 4 650 5 115 465 5 115<br />

Sierra Leone 4 650 4 650 5 115 465 5 115<br />

Singapore 1 783 680 2 076 320 2 283 952 500 272 2 283 952<br />

Slovakia 794 300 743 200 817 520 23 220 817 520<br />

Slovenia 464 500 390 180 429 198 (35 302) 429 198<br />

Solomon Islands 4 650 4 650 5 115 465 5 115<br />

Somalia 4 650 4 650 5 115 465 5 115<br />

South Africa 1 727 940 1 690 780 1 859 858 131 918 1 859 858<br />

South Sudan 18 580 13 930 15 323 (3 257) 15 323<br />

Spain 13 810 520 11 348 200 12 483 019 (1 327 501) 12 483 019<br />

Sri Lanka 116 130 143 990 158 389 42 259 158 389<br />

Sudan 46 450 46 450 51 095 4 645 51 095<br />

Suriname 18 580 27 870 30 657 12 077 30 657<br />

Swaziland 13 940 9 290 10 219 (3 721) 10 219<br />

Sweden 4 459 670 4 441 091 4 885 200 425 530 4 885 200<br />

Switzerland 4 863 780 5 295 770 5 825 347 961 567 5 825 347<br />

Syrian Arab Republic 167 220 111 480 122 628 (44 592) 122 628<br />

Tajikistan 13 940 18 580 20 438 6 498 20 438<br />

Thailand 1 110 160 1 351 690 1 486 859 376 699 1 486 859<br />

The former Yugoslav<br />

Republic of Macedonia 37 160 32 520 35 772 (1 388) 35 772<br />

Timor-Leste 9 290 13 930 15 323 6 033 15 323<br />

Togo 4 650 4 650 5 115 465 5 115<br />

Tokelau 4 650 4 650 5 115 465 5 115<br />

Tonga 4 650 4 650 5 115 465 5 115<br />

Trinidad and Tobago 204 380 157 930 173 723 (30 657) 173 723<br />

Tunisia 167 220 130 060 143 066 (24 154) 143 066<br />

Turkey 6 169 030 4 729 080 5 201 988 (967 042) 5 201 988<br />

Turkmenistan 88 260 120 770 132 847 44 587 132 847<br />

Tuvalu 4 650 4 650 5 115 465 5 115<br />

Uganda 27 870 41 810 45 991 18 121 45 991<br />

Ukraine 459 860 478 440 526 284 66 424 526 284<br />

United Arab Emirates 2 763 780 2 805 580 3 086 138 322 358 3 086 138<br />

12


FINANCING DIALOGUE<br />

Investing in the World’s Health Organization<br />

Top contributors 2016 2017 2018<br />

Assessed<br />

<strong>contribution</strong>s<br />

difference<br />

between<br />

2018 and 2016 2019<br />

United Kingdom of Great<br />

Britain and Northern<br />

Ireland 24 058 300 20 731 580 22 804 738 (1 253 562) 22 804 738<br />

United Republic of<br />

Tanzania 41 810 46 450 51 095 9 285 51 095<br />

United States of America 113 513 160 113 513 160 124 864 476 11 351 316 124 864 476<br />

Uruguay 241 540 366 950 403 645 162 105 403 645<br />

Uzbekistan 69 680 106 830 117 513 47 833 117 513<br />

Vanuatu 4 650 4 650 5 115 465 5 115<br />

Venezuela (Bolivarian<br />

Republic of) 2 912 420 2 652 300 2 917 530 5 110 2 917 530<br />

Viet Nam 195 090 269 410 296 351 101 261 296 351<br />

Yemen 46 450 46 450 51 095 4 645 51 095<br />

Zambia 27 870 32 520 35 772 7 902 35 772<br />

Zimbabwe 9 290 18 580 20 438 11 148 20 438<br />

Total 477 988 678 477 988 680 525 787 548 47 798 870 525 787 548<br />

13


FINANCING DIALOGUE<br />

Investing in the World’s Health Organization<br />

Programme areas<br />

ANNEX 2<br />

Programme areas supported through <strong>assessed</strong> <strong>contribution</strong>s in 2014-2015<br />

Health Assemblyapproved<br />

Programme budget<br />

Assessed<br />

<strong>contribution</strong><br />

funding<br />

Assessed<br />

<strong>contribution</strong><br />

reliance in %<br />

1.5 Vaccine-preventable diseases 346.8 24.2 7%<br />

1.2 Tuberculosis 130.9 14.7 11%<br />

1.3 Malaria 91.6 16.8 18%<br />

4.3 Access to medicines and health<br />

technologies and strengthening regulatory<br />

capacity 145.5 29.0 20%<br />

1.1 HIV/AIDS 131.5 27.1 21%<br />

5.3 Emergency risk and crisis management 88.0 18.8 21%<br />

3.5 Health and the environment 102.0 22.0 22%<br />

5.4 Food safety 32.5 7.6 23%<br />

3.1 Reproductive, maternal, newborn and<br />

child health 189.9 44.7 24%<br />

5.1 Alert and response capacities 98.0 26.4 27%<br />

2.3 Violence and injuries 31.1 8.4 27%<br />

2.4 Disability and rehabilitation 15.5 4.2 27%<br />

1.4 Neglected tropical diseases 91.3 25.0 27%<br />

4.1 National health policies, strategies and<br />

plans 125.7 35.3 28%<br />

2.5 Nutrition 40.0 11.4 28%<br />

5.2 Epidemic- and pandemic-prone disesases 68.5 20.6 30%<br />

2.2 Mental health and substance abuse 39.2 12.7 32%<br />

4.2 Integrated people-centred health services 151.5 51.5 34%<br />

2.1 Noncommunicable diseases 192.1 65.4 34%<br />

6.4 Management and administration 334.3 127.5 38%<br />

3.4 Social determinants of health 30.3 11.9 39%<br />

3.3 Gender, equity and human rights<br />

mainstreaming 13.9 5.5 40%<br />

3.2 Ageing and health 9.5 4.1 43%<br />

4.4 Health systems Information and evidence 108.4 46.3 43%<br />

6.2 Transparency, accountability and risk<br />

management 50.4 23.0 46%<br />

6.1 Leadership and governance 227.7 165.4 73%<br />

6.3 Strategic planning, resource coordination<br />

andreporting 34.5 26.8 78%<br />

6.5 Strategic communications 37.1 31.9 86%<br />

Grand total 2957.7 908.1 31%<br />

= = =<br />

14

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