paho/who briefing session to oas permanent council

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  • 1.

2. Information Session for Permanent Ambassadors to the Organization of American States and Other Ambassadors of PAHO/WHOMember States148th Session of the Executive Committee Washington, D.C.20-24 June 2011 Mirta Roses Periago Director 3. Executive Committee of PAHO

  • 2008-2011: Argentina( Vice President )GuatemalaHaiti
  • 2009-2012:ColombiaSaint Vincent and the Grenadines( President )Bolivarian Republic of Venezuela
  • 2010-2013:Grenada
  • PeruUnited States of America( Rapporteur)

2011-2014 candidacies: Brazil, Chile, El Salvador 2012-2015 candidacy: Panama, ______, ________ 4.

  • 2009-2012:Canada(PBAC)Chile
  • 2010-2013:BarbadosEcuadorUnited States of America
  • 2011-2014: Mexico

WHO Executive Board 2012-2015 candidacies: Cuba, _________ 5. Reporton the Fifth Session of the Subcommittee on Program, Budget, and Administration

  • Washington, D.C.,16-18 March 2011
  • Participating Member States:
  • Guatemala, Mexico (President) , Panama (Rapporteur) , Paraguay, Saint Vincent and the Grenadines, United States of America (Vice President) , and the Bolivarian Republic of Venezuela.
  • Observers:
  • Argentina, Bolivia, Brazil, Canada, and Suriname.

6. PAHO Award for Administration 2011 Nominees for the 2011 Award Name Country Mr. Lloyd Ian Smith Dr. Mara del Carmen Garca Dr. Jorge Castellanos Robayo Dr. Pastor Castell-Florit Serrate Dr. John Edward Greene Dr. Concepcin Ziga Valeriano Dr. David Tejada de Rivero Dr. Stephen James King Belize Bolivia Colombia Cuba Guyana Honduras Peru Saint Lucia Members of the Award Committee: United States, Saint Vincent and the Grenadines, and Venezuela 7. Proposed PAHO Program and Budget2012-2013 Scenarios

  • Scenario A: 10.5 %increase in the assessed contributions
    • Full cost recovery, in which all inflationary and statutory costs already incurred for both FTP and non-FTP components would be compensated
  • Scenario B: 6.7 %increase in the assessed contributions
    • Partial cost recovery, in which costs would be recovered for PAHO-funded FTPs only and inflationary costs on the non-FTP budget would be absorbed
  • Scenario C: 0%increase in the assessed contributions
    • Zero Nominal Growth, in which neither inflationary nor statutory cost compensation would be included, resulting in substantial cuts to operations

8. Proposed Program and Budget 2012-2013 Pan American Health Organization (PAHO) Scenario B Source 2010-20112012-2013% change Assessed contributions from Member States 186,400,000 198,800,000 6.7% + Miscellaneous income 20,000,00015,000,000-25.0% = Total PAHO share (Regular Budget) 206,400,000,213,800,000 3.6% + AMRO Share (from WHO) 80,700,00080,700,0000.0% = Total Regular Budget 287,100,000294,500,0002.6% + Estimated Other Sources * 355,851,000348,451,000 - 2.1% = Total Resource Requirements 642,951,000642,951,000 0.0% 9. Performance Monitoring and Assessment of the PAHO Strategic Plan during the biennium 2008-09

  • Programmatic Implementation:
  • Out of 88 RERs, 67 (76%) were on track (green) and 21 (24%) were at risk (yellow); none was assessed in trouble Todos los RERs se cumpliran si se mantiene esta implementacin
  • Budgetary Implementation
  • 94% (99% in Regular Budget and 89% in other sources)
  • Mobilization of Resources
  • $281 million were mobilized covering 81% of the funding gap (the funding gap established at the beginning of the biennium of $347 million was reduced to $66 million (19%).

10. 11. 12. 13. Strategy and Plan of Action on Urban Health

  • The situation
  • In 1900, 13% of the world's population resided in cities.
  • In 1950, the urban population accounted for 29.1% of the world's population.
  • In 2008, over half the human population live in urban areas.
  • By 2050, that proportion would increase to 70%.
  • Six of the worlds largestmegalopolises: So Paulo, Mexico City, New York City, Los Angeles, Buenos Aires, and Rio de Janeiro.
  • The proposal
  • Strengthenhealth promotion , considering the effects of urbanization.
  • Reorient health services .
  • Strengtheninstitutional capacitytoimplement an urban health system.
  • Engage in advocacy to achieve a common goal andshared responsibility .

14. Strategy and Plan of Action on Climate Change

  • The situation
  • Between 1960-1969, 100 hydrometeorologic events(droughts, extreme temperatures, floods, and major storms)were reported.
  • Between 2000-2009, 533 events.
  • The proposal
  • Strengthen thegeneration and dissemination of knowledgeabout thehealth risksassociated with climate change and the appropriate public health response.
  • Raise awareness and improve knowledge about thehealth impactof climate change.
  • Establishinterdisciplinary, interinstitutional , and intersectoralpartnerships .
  • Adaptation : improvethe capacity torespond to the risks posed by climate change.

15. Plan of Action on Road Safety

  • The situation
  • 142,252 deaths annually, with the number of injured estimated at over 5 million.
  • 80% of the victims are men.
  • The costs in the United States exceeded US$ 99,000 million in 2005. In Brazil, the figure was $10 000 million per year. In Belize, it was estimated at $11 million in 2007.
  • 39% of the people who die are pedestrians, cyclists, or motorcyclists.
  • The proposal
  • Strengthenmultisectoral managementin public administration to improve road safety.
  • Reduce the incidence of risk factors:speed and alcohol consumption ,andincrease the use of protective gear: helmets, seat belts, and child safety seats .
  • Improvemass transitpolicies.
  • Promote the de velopment of
  • safe infrastruct ure

16. Plan of Action to Reduce the HarmfulUse of Alcohol

  • The situation
  • In 2004 : alcohol consumption was implicated in over 347,000 deaths in the Region.
  • The proposal
  • Urge adoption of the WHOglobal strategy to reduce harmful alcohol consumption.
  • Raise awareness and increase political commitment .
  • Improve thebody of knowledgeabout the extent of problem and the effectiveness ofinterventions.
  • Increasetechnical supportto the Member States.
  • Strengthenpartnerships .
  • Improvethe systems .

17. Plan of Action on Psychoactive Substance Use and Public Health

  • The situation
  • Drug use, especially among youth, is concentrated in urban areas.
  • In addition to alcohol and tobacco, the psychoactive substances used the most in the Region arecannabis, cocaine, and volatile solvents .
  • Steady increase in the use of psychotropic substances with no therapeutic purpose.
  • The proposal
  • Formulate and executenational policies, plans, andlawsto address the problem of psychoactive substance use.
  • Promoteuniversal preventionof substance use.
  • Promoteearly interventioninprimary care.
  • Improveresearch, monitoring, and evaluation.
  • Strengthenpartnerships .

18. Strategy and Plan of Action on Epilepsy

  • The situation
  • Epilepsy represents 0.5% of the global burden of disease.
  • 80% of that burden corresponds to the developing countries.
  • The regional burden is 0.7%.
  • The greatest burden is found in the 5-14 age group.
  • The United States and Canada have a lower burden(0.4%) compared to Latin America and the Caribbean (0.9%).
  • The proposal
  • Programs and legislationfor the care of people with epilepsy and protection of their human rights.
  • Health services networkthat emphasizes primary health care and the provision of medicines.
  • Education andsensitizationofthe population.
  • Strengthening of the ability to produce, evaluate, and useinformation onepilepsy.

19. Strategy and Plan of Action on Malaria

  • The situation
  • In 2009, the Region reported565,025 cases.
  • 52% reduction over 2000.
  • 18 of 21 countries reduced case numbers between 2000 and 2009.
    • 8 reported reductions of over 75%.
    • 4, of 50-75%.
    • 3 countries reported an increase.
  • The proposal
  • Maintain aproactive, multifaceted approachto combating malaria.
  • Prevention, surveillance, andearly detectionof malaria and containment of outbreaks.
  • Integrated vector control .
  • Malariadiagnosis and treatment .
  • Promotion, communication,partnerships, and collaboration .
  • Strengthening ofhealth systems .

20. Plan of Action to Accelerate the Reduction of Maternal Mortality and Severe Maternal Morbidity

  • The situation
  • In 2010, 9500 maternal deaths occurred in Latin America and the Caribbean.
  • 9 countries remain above the regional average:
    • Bolivia, Guatemala, Guyana, Haiti, Honduras, Paraguay, Peru, Dominican Republic, and Suriname
  • 46% of rural women and 74% of urban women receive 4 prenatal check-ups.
  • The proposal
  • Directly related measures in the health sector:
    • Organization of health services for thecare of womenbefore pregnancy, in the prenatal period, in childbirth, and the puerperium.
  • The general objectives of the plan of action are:
    • To helpaccelerate thereduction of maternal mortality
    • To strengthen surveillance and thepreventionof severe maternal morbidity.

21. Strategy and Plan of Action oneHealth

  • The situation
  • Inequality inaccess to health services in the Region.
  • Lack of infrastructure, equipment, and medicines;physical and cultural distance between users and the services.
  • 45% of the 11 countries of the Region surveyed have aneHealthstrategy,and 36% have a specifictelemedicine policy.
  • 82% use it in the health sciences, and 91% for the education of health professionals.
  • The proposal
  • Cost-effective supportofinformationand communication technology (ICT) forhealth.
  • Improve public health withinnovative ICT tools and methodologies .
  • Support the formulation and adoption of people-centeredpublic policies in eHealth .
  • Improve theinfrastructure .
  • Promote and facilitatehorizontal cooperation among countries.

22. Financial Report of the Director and Report of the External Auditor for 2010 Sources of Financial Resources Millions US$ IPSAS 23. Quotas received as of 13 June 2000-2011 24. Balance of Arrears as of 13 June 2011 25. Report on the Preparations for the Panel on Safe Motherhood and Universal Access to Sexual and Reproductive Health Mrs. Marcela Suazo, UNFPA Challenges of safe motherhoodand universal access Final comments (5minutes) H.R.H..Infanta Cristina of Spain, Director, International Area of the La Caixa Foundation SMI supported by the La Caixa Foundation Presentation of the Safe Motherhood Initiative (SMI): the commitment of all (10 minutes). Dr. Anbal Fandez, Coordinator, Latin American Federation of Obstetrics and Gynecology Societies(FLASOG) Analysis of the current situation in Latin America and the Caribbean Presentation of the initiative for the prevention and reduction of risks and threats from unsafe abortion (15 minutes).Mrs. Marcela Suazo, UNFPA Analysis of the current situationPresentation of the topic Universal access tofamily planning: Challenges for the decade (15 minutes).Dr. Michelle Bachelet, UN - Women Achievement ofMDG 5 Presentation of the topic: Achievement of MDG 5: Universal access tosexual and reproductive health (15 minutes).Dr. Mirta Roses, PAHO Welcome and introduction Introduction (5 minutes) Suggested Presenter Contents Subject 26. Report on the Preparations for the Roundtable on Antimicrobial ResistanceStructure of the Roundtable Moderator: Vice President of the Directing CouncilModerator: Vice President of the Directing Council Moderator:President of the Directing CouncilTowards a Multifaceted Approach to Contain Antimicrobial Resistance The Extent of AntimicrobialResistance in the Region and its Trends. Data forAction The Health, Social, and Economic Impact of AntimicrobialResistanceDiscussion Group 3 Discussion Group 2 Discussion Group 1CONTAINING ANTIMICROBIAL RESISTANCE Opening remarks: Antimicrobial Resistance: Implications for Global Health 27. 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

28. Progress Reports on Administrative and Financial Matters

  • A. Status of implementation of the International Public Sector Accounting Standards (IPSAS)
  • B. Update on the Appointment of the External Auditor of PAHO for 2012-2013 and 2014-2015
  • C. Master Capital Investment Plan

29.

  • Report of the Office of Internal Oversight and Evaluation Services
  • Report of the Audit Committee
  • Status of Projects Funded from the PAHO Holding Account
  • Update on the Modernization of the PASB Management Information System (PMIS)
  • WHO Medium-term Strategic Plan2008-2013 and Proposed Programme Budget 2012- 2013
  • Other administrative and financial matters and matters for information

30. Membership of the Advisory Committee of the Latin American and Caribbean Center on Health Sciences Information(BIREME) 2009-2012 Dominican Republic2009-2012 Chile 2009-2012 Argentina 2009-2011 Mexico 2009-2011 Jamaica Designation by the Directing Council or the Pan American Sanitary Conference Member 31. Thank you very much! 148th Session of the Executive Committee Washington, D.C. 20-24 June 2011