1.

2. INFORMATION MEETING FOR PERMANENT AMBASSADORS TO THE ORGANIZATION OF AMERICAN STATES AND OTHER AMBASSADORS OF PAHO/WHO MEMBER STATES 51st Directing Council of PAHO 63rd Session of the WHO Regional Committee for the Americas Washington, D.C.26-30 September 2011 Mirta Roses Periago Director 3.

• • Regulations

• • Constitution

• • Program Policy

• • Administration and Finance

• • Awards

• • General Information

PROGRAM 51st Directing Council of PAHO Washington, D.C., 26-30 September 2011

Matters related to:

4. REGULATIONS AND COMPOSITION Executive Committee of PAHO

2008-2011: Argentina GuatemalaHaiti

2009-2012:ColombiaSaint Vincent and the Grenadines Bolivarian Republic of Venezuela

2010-2013:Grenada

PeruUnited States of America

2011-2014 Candidates: Brazil, Chile, El Salvador 5.

2009-2012:Canada(PBAC)Chile

2010-2013:BarbadosEcuadorUnited States of America

2011-2014:Mexico

WHO Executive Board 2012-2015 Candidates: Cuba, Panama 6.

General Committee

• President: Panama

• Vice-president: Bahamas

• Vice-president: Uruguay

• Rapporteur: Bolivia

• Other members: Cuba

• Guatemala

• United States of America

• Committee on Credentials

• Antigua and Barbuda

• Honduras

• Canada

OFFICERS 51st Directing Council

Proposed officers:

7.

Executive Committee

BIREME Advisory Committee

ELECTIONS 51.Directing Council Term ending Candidates Argentina Brazil Guatemala Chile Haiti El Salvador Term ending Candidates Jamaica Bolivia Mexico Suriname 8.

• Appointment of the External Auditor of PAHO for the bienniums 2012-2013 and 2014-2015

ELECTIONS 51st Directing Council Proposed Audit entity Member State that proposed it Court of Audit of Spain Panama Supreme Audit Institution of Germany (Bundesrechnungshof) Peru 9.

Head of Delegation, Mexico Outgoing President of the Directing Council

Dr. Mirta Roses , Director of PAHO

Mr. Jos Miguel Insulza , Secretary General of the OAS

Mrs. Kei Kawabata , Social Sector Manager, Inter-American Development Bank

Dr. Margaret Chan , Director of WHO

Dr. Kathleen Sebelius , Secretary of Health, Department of Health and Human Services, United States of America

OPENING SESSION Table of Honor Washington, D.C., PAHO, 26 September 2011, 9:00 AM 10. HIGHLIGHTED EVENTS Saturday, 24 and Sunday, 25 September Time and place

Caribbean Caucus

Room B. Special Program Monday, 26 September Time and place

Meeting of Heads of Delegation

Opening ceremony

Launch of exhibits:

• Photographic exhibit: Safe Motherhood in Latin America and the Caribbean

• ECLAC/PAHO Regional Atlas of Subnational Vulnerability and Faces, Voices, and Places exhibit

• 25th Anniversary of the PAHOProgram in International Health

Commemorative photo with Directing Council Heads of Delegation

Awards dinner honoring excellence in Inter-American Public Health 2011

8:30 AM Room B 9:00 AM Room B 10:00 AMPAHO lobby 12:30 PM Lobby, 1st floor 7:00 PM Lobby of the Americas, main building of the OAS Tuesday, 27 September Time and place

Regional Consultation on WHO Reform (Plenary and Roundtables)

Luncheon of the World Council of Women Leaders (Event by invitation to Women Ministers of Health)

Presentationof the Commission on Information and Accountability for Womens and Childrens Health

PANEL: SAFE MOTHERHOOD AND UNIVERSAL ACCESS TOSEXUAL AND REPRODUCTIVE HEALTH

Signing of PAHO/WHO-ACTO Agreement

Meeting of the ORAS-CONHU countries

Meeting of the Central American and Mesoamerican countries

8:30 AM Room A Ronald Reagan Building2:30 PM Room A 6:00 PM Room 1017 6:30 PM Room 1017 6:30 PM Room B 11. HIGHLIGHTED EVENTS Wednesday, 28 September Time and place

Technical coordination meeting between PAHO, representatives of the GAVI Alliance, and Ministers of the countries of the Region that receive support GAVI

Celebration of 25thAnniversary of the PAHO Program in International Health

12:30 PMState Plaza Hotel 3:30 PM Room A Thursday, 29 September Time and place

Private meeting with heads of delegation

Launch of the ECLAC/PAHO Regional Atlas of Subnational Vulnerability

Launch of the Supplement on Elimination of Rubella and Congenital Rubella Syndrome in the Americas ( Journal of Infectious Diseases)

Technical meeting between PAHO, the secretariat of the Global Fund andMinisters of Health

8:30 AM Room B 10:30 AM Room A 12:00 PM Room A 12:30 PM Room B Friday, 1 October Time and place

149th Session of the Executive Committee of PAHO (Saint Vincent and the Grenadines - Outgoing President - Colombia, the United States, Grenada, Peru, Venezuela, and the members to be elected during the Directing Council: Brazil, Chile and El Salvador)

At the end of the Directing Council, Room B 12. Awards for Excellence in Inter-American Public Health 2011 Monday,26 September 2011. 3:30 p.m.

PAHO Award for Administration

• Dr. John Edward Greene, Guyana

Abraham Horwitz Award (leadership in public health)

• Dr. Peter J. Hotez, United States

Clarence Moore Award (voluntary service)

• Women's International Network for Guatemalan Solutions (WINGS) ,Guatemala

Pedro Acha Award (veterinary health thesis)

• Dr. Francisca Andrea Samsing Pedrals, Chile

Manuel Velasco Surez Award (Bioethics)

• Dr. Laura Adriana Albarellos , Mexico

Sergio Arouca Award (universal access to health)

• Integrated Management of Adolescent and Adult Illness Program (IMAI), Ministry of Health, Guyana

13. RESOLUTIONS

Collection ofquota contributions

Strategy and plan of action on climate change

Strategy and plan of action on epilepsy

Strategy and plan of action on eHealth

Strategy and plan of action onmalaria

NGOsin official relations with PAHO

Amendment of the principlesgoverning relationships between PAHO and NGOs

Plan of Action to reduce the harmful use ofalcohol

Plan of action onpsychoactive substance useand public health

Strategy and plan of action onurban health

Plan of action onroad safety

Amendments to PASB staff rules and regulations

PAHO Awardfor Administration 2011

Plan of Action to accelerate the reduction inmaternal mortalityand severe maternal morbidity

Provisional agenda of 51st Directing Council

ProposedPAHO Program and Budget2012-2013

AssessmentsofMember States

17 Resolutions adopted by the Executive Committee 14.

The Executive Committee agreed to:

Approve the programof work for the Bureau as outlined in the PAHO Proposed Program and Budget 2012-2013 ( Official Document338).

that requires an increase of 4.3% to the assessments of PAHO Member States

and further requestthe Director to present a new scenariowith an increase of 2.15% to the assessed contributions of Member States

Proposed PAHO Program and Budget 2012-2013 [ RESOLUTION CE148.R16] 15. Financing of the Program and Budget 2012-2013 by Funding Source Ratio of 46/54 RB/OS 16. Scenario D: Zero Nominal Growth 9% of Strategic Plan targets will not be met by 2013 2010-2011Change 2012-2013PercentageAssessed Contributions186.4008.000194.4004,3%Miscellaneous Income20.000(8.000)12.000-40,0%WHO/AMRO (Approved by WHA) 80.700- 80.7000,0%Total Regular Budget 287.100- 287.1000,0% Total Other Sources 355.851 (16.226) 339.625 -4.5% Total Budget 642.951 (16.226) 626.725 -2.5% 17. Comparison ofScenarios D, E, and C Proposed resolution for the Directing Council:Scenario D (4.3% increase inAssessed Contributions) Scenario D Scenario E Scenario C Assessed Contributions194.4004,3%190.400 2.15% 186.400 0.0% Miscellaneous Income12.000-40,0%12.000 -40.0% 12.000 -40.0% WHO/AMRO (Approved by WHA) 80.7000,0%80.700 0.0% 80.700 0.0% Total Regular Budget 287.1000,0% 283.100 -1.4% 279.100 -2.8% Total Other Sources 339.625 -4.5% 332.300 -6.6% 329.685 -7.4% Total Budget 626.725 -2.5% 615.400 -4.3% 608.785 -5.3% Negative Impact on Program (% of targets that will not be achieved) 9% 14% 19% 18. 19. 20. Budgetary Implementation by Organizational Levels and Source of Funds, End-of-Biennium, 2008-2009 Note: The figures do not include funds from government-financed internal projects, the Revolving Fund, the Strategic Fund or any other funds that are not directly funding the Strategic Plan.Organizational level Funds available for the biennium (US$ thousand) Expenditure (US$ thousand) Implementation rate (%) RB OS Total RB OS Total RB OS Total Country 103,965119,968223,933103,241103,935207,17699 87 93 Subregional 15,27614,57629,85215,11613,42828,54499 92 96 Regional 158,823146,132304,955157,672131,606289,27899 90 95 Total 278,064280,676558,740276,029248,969524,99899 89 94 21. Strategy and Plan of Action on Climate Change [RESOLUTION CE148.R2]

To the Member States:

measure theimpacts of climate changeon health and address its effects

strengthen the capacityof health systems for monitoring and analyzing climate and health information

empower and strengthen national and local health systems to effectivelyprotect human healthfrom risks related to climate change

To the Director:

establish networksthat facilitate the gathering anddissemination of information

promote campaigns forraisingawarenessabout climate change

work with countries to mobilize resources

create partnerships that promote sustainable actions

develop adaptation options based on assessments

assist the Member States in implementing theAction Plan , in developing national plans tailored to local needs

22. Strategy and Plan of Action on Epilepsy[RESOLUTION CE148.R3]

To the Member States:

makeepilepsyapriority

strengthen the legal frameworks in order toprotect human rights

universalequitableaccessto medical care and essential drugs

strengthenhuman resources

close theinformationgap

strengthen partnershipsbetween the health sector and other sectors

To the Director:

assist the Member States in thepreparation and execution of national programs

givepriority to vulnerable groups

collaborate in theevaluation and restructuring of the countries neurology and mental health services

facilitate thedissemination of informationand the sharing of experiences

promote partnerships and abroad and multisectoral response

23. Strategy and Plan of Action oneHealth[ RESOLUTION CE148.R4]

To the Member States:

give priority to the use of innovative tools and methodologies

interministerial policies, plans, programs, andinterventions

promote greater competencies among human resources

encourage partnerships and the sharing of experience,respecting the principles of information confidentiality , equity, and equality

support the capacity togenerate information and research

To the Director:

facilitate the dissemination of studies , reports and solutions to serve as model foreHealth

promote theformation ofnational, municipal, and localpartnershipsto facilitate the sharing of capacities

promote coordinationbetween the Strategy and Plan of Action and similar initiatives

24. Strategy and Plan of Action on Malaria[RESOLUTION CE148.R5]

To the Member States:

review national plans or establish new ones for the prevention, control, and the potential elimination of malaria

coordinate with other countries and initiatives in:

• epidemiologicalsurveillance of malaria

• surveillance of resistance toantimalarial medicines

• and insecticides

sustain or increase resources

establish integrated strategies for vector control with broad community participation

To the Director:

continue advocating for the mobilization of resources

promote and strengthen technical cooperation among the countries and formstrategic partnerships

ensure that malariadrugs meet internationally recognizedquality assurance standards and are consistent with PAHO/WHO recommendations

25. Plan of Action to Reduce the HarmfulUse of Alcohol [RESOLUTION CE148.R8]

To the Member States:

Identify harmfulalcohol consumption as a publichealth priority

reduce alcohol-related problems withpopulation-wide policies

promote programs that educate children, young people, and those who choose not to drink alcohol about how to resist peer pressure

ensure effectiveprevention, treatment, and care services

allocatefinancial, technical, and humanresources

To the Director:

collaborate in the assessment of alcohol and services in the countries

facilitate thedissemination of informationand the sharing of experiences

promote partnerships

establish adialogue with the private sector on how to reduce alcohol-related harm

26. Plan of Action on Psychoactive Substance Use and Public Health[ RESOLUTION CE148.R9]

To the Member States:

Identifypsychoactive substance use as apublic healthpriority

implement national and subnational plansto tackle psychoactive substance use problems

To the Director:

support the Member States inthe preparation and implementation of national and subnational planson psychoactive substance use

promote partnerships

support themultisectoral responserequired to implement Plan ofAction

27. Strategy and Plan of Action on Urban Health [ RESOLUTION CE148.R10]

To the Member States:

support nationalhealth promotionpolicies and programs

Include determinants and indicatorsrel ated to urban healthin surveillance systems

furtherthe commitment tohealthy urban planning and development

develop transport systems that prioritize safewalking, cycling, and public transport

To the Director:

produce and disseminate criteria, guidelines, model policies, and legal frameworks for urban health planning

collect and disseminate new information about (the issue)

further develophealth promotion andhealth determinants approaches

supportministry of health engagement with city and metropolitan authorities andand other relevant sectors

28. Plan of Action on Road Safety[RESOLUTION CE148.R11]

To the Member States:

prioritize road safety through the development of national, subnational and local plans for the Decade of Action for Road Safety

improve the urban roadand highwayinfrastructure

reduce the incidence ofrisk factors

enforce the laws (on road safety)

strengthen the technical and institutionalcapacity for providing care tovictims

improve dataon traffic accidents

To the Director:

support the Member States in their efforts to improve road safety

facilitate the identification andsharing of good practices

provide cooperation for the creation of capacity

provide technical assistance toimprove prehospitaltreatment and care for victims

promote associations andcollaboration

29. Plan of Action to Accelerate the Reduction of Maternal Mortality and Severe Maternal Morbidity[RESOLUTION CE148.R14]

To the Member States:

adopt national policies, strategies, plans, andprograms that increase womens access to quality health services

prioritize womenslives as a human rights and development issue

promote the empowermentof women and the participation andco-responsibility of menin sexual and reproductive health

advocate fordedicatedand strategicpublic budgets

To the Director:

promote the implementation and coordination of this Plan of Action,ensuring its horizontal nature

promote and strengthen information systemsand maternal health surveillance

support the Member States indeveloping human resources

consolidate and strengthentechnical cooperation with other bodies

30. Contributions received as of 13 September 2011 corresponding to the years 2000 to 2011 31. Outstanding contributions as of 13 September 2011 32.

Dr. Mirta Roses, Director of PAHO

Introduction to the topic

Dr. Michelle Bachelet, UN Women

Achievement of MDG 5: Universal access to sexual and reproductive health

Mrs. Marcela Suazo, UNFPA

Universal access tofamily planning: Challenges of the decade

Dr. Anbal Fandez , Coordinator of FLASOG

Prevention of unsafe abortion and its consequences

H.R.H. Infanta Cristina

Presentation on Motherhood and Safe Birth: A commitment for all

Dr. Margaret Chan, Director-General of WHO

Closing remarks

Panel Discussion on Safe Motherhood and Universal Access to Sexual andReproductive Health PANELISTS 27 September 2011, 2:30 PM 33. Roundtable on antimicrobial resistanceStructure of the Roundtable CONTAINING ANTIMICROBIAL RESISTANCE Opening remarks :Dr. Patrick Kelley, Institute of Medicine Antimicrobial resistance: Global Health Impact Discussion panel 1 Susan Foster, Alliance for the Prudent Use of AntibioticsDiscussion panel 2 Mario Raviglione, WHO Discussion panel 3 Jos G. Orozco, ReAct Latin America The health, social, and economic impact of antimicrobial resistanceThe extent of antimicrobialresistance in the Region and its trends. Data for action Towards a multifaceted approach to contain antimicrobialresistanceModerator:President of the Directing Council Moderator: Vice President of the Directing Council Moderator: Vice President of the Directing Council 34. Regional Consultation on WHO ReformMilestones in WHO Reform 2010-2012 Jan 2010 Discussion on WHO Reform began with a consultation on the Future of Financing for WHO that was discussedin 128 thEB Feb-Sea 2011 WHO working groups prepare initial proposals Sea 2011 Discussions in Global Policy Group (GPG) Apr 2011 Consultation with Member States & Staff 20 May 2011 6 thWHA adopts resolution WHA64.2 on WHO reform 25 May 2011 129 th EB adopts decision EB129(8) on WHO reform 1 July 2011 Mission briefing on "three concept papers" Jul-Oct 2011 Member States web-based consultations on three concept papers Aug-Oct 2011 Strategic discussions in Regional Committees on WHOS reform 15 Sep 2011 Geneva mission briefing on managerial reform papers 18 Sep 2011 Review of Drafts of elements of a Comprehensive Document on WHO Reform in GPG Nov 2011 Special Session of EB on WHO reform to discuss outcomes of consultative process on the three papers, strategy and priority setting for the five core business areas approved by the 64 thWHA and draft proposals on managerial reform prepared by the Secretariat Jan 2012 Presentation of draft package of reforms and detailed implementation plan to 130 th EB May 2012 Presentation of package of reforms, implementation plan, and first report of independent evaluation 65 thWHA 35. Expected Outcomes of the Reform

Transforming governance to strengthen public health

Reforming the financing and management of WHO

Refocusing WHO core business to address the 21 stcentury health challenges

36. What are we expecting from the51 stPAHO/AMRO Directing Council?

Member States views on the agenda and process of WHO reform

Guidance on key issues raised in the 3 concept papers ongovernance ;independent evaluationandWorld Health Forum; and on the working document: WHO Managerial Reforms

Contributions to inform the Special Session of the EB on1-3 November 2011

37. Discussion in the 51 stDirecting Council

Morning of Tuesday, 27 September

Introduction by the AMRO/PAHO Director, Dr. Mirta Roses

Comments by WHO Director-General, Dr. Margaret Chan

Threeroundtables,arranged by subregion, chaired bythe President and two Vice Presidents of the Directing Council

Discussion guidelines for the three concept papers and managerial reform paper

Rapporteurs for each roundtable to capture discussion

Summary Report of roundtable discussions presented morning of Wednesday, 28September

Report sent to Geneva as input for the Special Session of the EB in November 2011

38. Progress Reports on Technical Matters

A. Immunization: challenges and outlook

B. Implementation of the Global Strategy and Plan of Action on Public Health, Innovation, and Intellectual Property

C. Advances in the Implementation of the WHO Framework Convention on Tobacco Control

D. Implementation of the International Health Regulations (2005)

E. Progress toward Achievement of the Health-related Millennium Development Goals in the Region of the Americas

F. Review of the Pan American centers

G. Regional Initiative and Plan of Action forTransfusion Safety2006-2010: Final evaluation

39. Resolutions and Other Actions of Intergovernmental Organizations of Interest to PAHO:

64th World Health Assembly

Forty-first Regular Session of the General Assembly of the Organization of American States

Subregional Organizations

40. Thank you very much!