^ ^ ^ ^ ORGANISATION MONDIALE DE LA SANTÉ
EXECUTIVE BOARD
F i f t y - n i n t h S e s s i o n
Provisional agenda item 16
30 November 1976
DEVELOPMENT OF PROGRAMME BUDGETING AND MANAGEMENT OF WHO'S RESOURCES AT COUNTRY LEVEL
Report by the Director-General
The attached document contains proposals for changing the W H O programme budgeting procedure at regional and country levels, as well as the method of preparation and the form of presentation of the programme budget document. These proposals are intended to promote further collaboration with Member States in programme planning and i n c r e a s e the programme o r i e n t a t i o n of the development of WHO pro-
grammes and management of WHO's r e s o u r c e s a t country l e v e l . Regional committee resolutions endorsing these proposals are annexed to the report.
1. I n t r o d u c t i o n
1.1 Programming, budgeting and management concepts in W H O have been under continuing r e v i e w , development and improvement in the regional committees, the Executive B o a r d , the W o r l d Health A s s e m b l y , and at all levels of the Organization since its founding in 1948.
1.2 A particularly important development took place in 1972, when the Twenty-fifth W o r l d Health A s s e m b l y , in resolution W H A 2 5 . 2 3 a d o p t e d a new "programme budget" form of presenta- tion based on the principles of a programme-oriented approach to planning and b u d g e t i n g , set f o r t h in the D i r e c t o r - G e n e r a l ' s r e p o r t on t h i s s u b j e c t . ^ These p r i n c i p l e s can be summarized as "programming by objectives and budgeting by
p r o g r a m m e s "1.3 These programme budgeting principles have been applied to the development of the Fifth and Sixth General Programmes of Work and to the formulation of biennial programmes corresponding to the major functions and objectives of the Organization. The form of presentation of the WHO programme budget document has been made more programme-oriented. The use of global
programme statements supported by budget tables has facilitated programme review by the Executive Board and the W o r l d Health Assembly.
1.4 In the light of experience, it is now proposed to further extend the application of these principles of programme budgeting to the planning and development of programmes of technical cooperation with governments and to the management of W H O
1s resources at country level. This report contains proposals affecting W H O planning procedures with governments, the allocation of W H O resources within regions, the W H O budget preparation cycle at country level, and the form of presentation of programme budget proposals for review by regional c o m m i t t e e s , the Executive Board and the World Health Assembly.
1
WHO Handbook of Resolutions and Decisions, V o l . I , 1973, p. 197.
2
WHO Official Records, N o . 2 0 1 , 1972, Annex 7.
3 W H O O f f i c i a l R e c o r d s , N o . 2 1 2 , 1 9 7 3 , p . 9 .
、 s 7
6
a
о E C
i / B ^
E B 5 9 / 1 3 p a g e 2
1.5 T h e p r o p o s a l s o u t l i n e d in this r e p o r t h a v e b e e n c o n s i d e r e d a n d e n d o r s e d b y the R e g i o n a l C o m m i t t e e s for A f r i c a , S o u t h - E a s t A s i a , a n d the W e s t e r n P a c i f i c , a n d S u b - C o m m i t t e e A o f the R e g i o n a l C o m m i t t e e for the E a s t e r n M e d i t e r r a n e a n . The r e s o l u t i o n s a d o p t e d b y those b o d i e s a r e c o n t a i n e d i n A n n e x I I . In a d d i t i o n , the R e g i o n of the A m e r i c a s a l r e a d y h a s a p l a n n i n g p r o c e s s w h i c h i n c o r p o r a t e s the m a i n f e a t u r e s of these p r o p o s a l s .
1.6 S e c t i o n 2 of this r e p o r t d e s c r i b e s p r o b l e m s a s s o c i a t e d w i t h the t r a d i t i o n a l p r o j e c t a p p r o a c h to b u d g e t i n g . S e c t i o n 3 p r o p o s e s a n e w p r o g r a m m e b u d g e t i n g p r o c e d u r e at r e g i o n a l a n d c o u n t r y l e v e l . S e c t i o n 4 d i s c u s s e s the p r o b l e m of a l l o c a t i o n o f r e s o u r c e s b e t w e e n c o u n t r i e s . S e c t i o n 5 r e v i e w s i m p l i c a t i o n s for the form of p r e s e n t a t i o n of the p r o g r a m m e b u d g e t . S e c t i o n 6 c o n t a i n s a b r i e f r e c a p i t u l a t i o n of the p r o p o s a l s .
2 . P r o b l e m s a s s o c i a t e d w i t h the fragmented， p r o j e c t a p p r o a c h
2 . 1 W H O _ s c o u n t r y p r o g r a m m e s u s u a l l y c o n s i s t of a set of a c t i v i t i e s k n o w n as p r o j e c t s . T h e p r o j e c t c o n c e p t d a t e s b a c k to the v e r y b e g i n n i n g s of the O r g a n i z a t i o n , a n d is g e n e r a l l y a p p l i e d i n i n s t i t u t i o n s and programmes o f the U n i t e d N a t i o n s s y s t e m . I t stemmed from the
" s e c t o r a l " a p p r o a c h a d o p t e d i n i t i a l l y to deal w i t h f r a g m e n t e d r e q u e s t s from g o v e r n m e n t s for s p e c i f i c a s s i s t a n c e in v a r i o u s fields s u c h as m a l a r i a , m a t e r n a l a n d c h i l d h e a l t h , or
e n v i r o n m e n t a l s a n i t a t i o n .
2.2 R e c e n t a n a l y s e s in W H O , i n c l u d i n g the f i n a n c i a l a n d e f f e c t i v e n e s s a u d i t s of c o u n t r y p r o j e c t s in two r e g i o n s c a r r i e d out b y the E x t e r n a l A u d i t o r , h a v e d e m o n s t r a t e d that a s i g n i f i c a n t p e r c e n t a g e of c o u n t r y p r o j e c t s i n c l u d e d in the b u d g e t w e r e n e v e r i m p l e m e n t e d , a n d t h a t , of t h o s e i m p l e m e n t e d , a s i g n i f i c a n t n u m b e r d e v i a t e d m o r e than 5 0 % from the b u d g e t , m a i n l y as a r e s u l t of c h a n g e s in r e q u e s t s from g o v e r n m e n t s . A s a c o n s e q u e n c e , a g r e a t d e a l of t i m e a n d e f f o r t m u s t b e e x p e n d e d on m a k i n g d e t a i l e d b u d g e t r e v i s i o n s u p to a n d d u r i n g the o p e r a t i n g y e a r . T h e a n a l y s e s suggest that a l l o c a t i o n a n d b u d g e t i n g of r e s o u r c e s b a s e d o n the a c c u m u l a t i o n o f d e t a i l e d a n d f r a g m e n t e d p r o j e c t p r o p o s a l s are n o t a n e f f e c t i v e m e t h o d o l o g y for p l a n n i n g the h e a l t h p r o g r a m m e s of W H O o r its M e m b e r S t a t e s .
2.3 T r a d i t i o n a l l y the d e t a i l e d p l a n n i n g of c o u n t r y p r o j e c t p r o p o s a l s has i n c l u d e d the p r e p a r a t i o n of d e t a i l e d cost e s t i m a t e s for project s t a f f , e q u i p m e n t , s u p p l i e s , t r a n s p o r t , f e l l o w s h i p s and o t h e r o b j e c t s of e x p e n d i t u r e two or t h r e e y e a r s p r i o r to the b e g i n n i n g of the r e l e v a n t o p e r a t i n g y e a r . T h e a t t e m p t in the W H O p l a n n i n g p r o c e s s to f o r m u l a t e these d e t a i l s so far in a d v a n c e , in o r d e r to be in a p o s i t i o n to submit d e t a i l e d p r o j e c t cost e s t i m a t e s in p r o g r a m m e b u d g e t d o c u m e n t s in time for r e v i e w b y the r e g i o n a l c o m m i t t e e s , the E x e c u t i v e B o a r d a n d the W o r l d H e a l t h A s s e m b l y , a p p e a r s i n c o n s i s t e n t w i t h the r e q u i r e m e n t s of t h e c o u n t r y h e a l t h p l a n n i n g p r o c e s s a n d the n e e d for f l e x i b i l i t y on the part of the O r g a n i z a t i o n a n d M e m b e r S t a t e s .
2 . 4 T h e d e t a i l e d a d v a n c e p l a n n i n g of c o u n t r y p r o j e c t s h a s the further u n d e s i r a b l e e f f e c t of m a k i n g such p l a n n i n g out of p h a s e w i t h the rest of W H O
1s own p l a n n i n g c y c l e a n d w i t h the n a t i o n a l b u d g e t p r e p a r a t i o n c y c l e of m o s t M e m b e r S t a t e s . B y the time r e g i o n a l a n d head- q u a r t e r s p r o g r a m m e s a r e b e i n g p l a n n e d , c o u n t r y p r o j e c t s h a v e a l r e a d y b e e n d e c i d e d u p o n , t h e r e b y d i s c o u r a g i n g m u t u a l d i a l o g u e a n d a d a p t a t i o n of p r o p o s a l s b e t w e e n the d i f f e r e n t e c h e l o n s o f W H O . It w o u l d a p p e a r p r e f e r a b l e to plan a h e a d o n a b r o a d e r , m o r e programme- o r i e n t e d b a s i s , a n d m o v e to d e t a i l e d p r o j e c t p l a n n i n g c l o s e r to a n d as a p a r t of the imple- m e n t a t i o n p r o c e s s , w h e n n a t i o n a l a u t h o r i t i e s are p r e p a r i n g the n a t i o n a l h e a l t h b u d g e t , w h e n t h e a v a i l a b i l i t y o f e x t e r n a l funds is m o r e likely to b e k n o w n , a n d w h e n there h a s b e e n a n o p p o r t u n i t y for a b e t t e r p l a n n i n g d i a l o g u e b e t w e e n a l l e c h e l o n s of W H O .
2.5 It h a s f r e q u e n t l y b e e n s t a t e d in W H O that " p l a n n i n g b e g i n s at c o u n t r y level"• This is
i n d e e d t r u e - but the n a t u r e of such p l a n n i n g is c h a n g i n g in a f u n d a m e n t a l w a y . The
t r a d i t i o n a l r e l a t i o n s h i p of a n " a s s i s t i n g agency" r e s p o n d i n g to ad h o c p r o j e c t r e q u e s t s of
a n " a s s i s t e d g o v e r n m e n t " is b e i n g r e p l a c e d b y a c o n c e p t of joint p r o g r a m m e p l a n n i n g w i t h
c o u n t r i e s . This c o n c e p t i m p l i e s t h a t c o u n t r y h e a l t h p l a n n i n g is a c o l l a b o r a t i v e process in
w h i c h n a t i o n a l h e a l t h a u t h o r i t i e s , WHO c o u n t r y r e p r e s e n t a t i v e s , r e g i o n a l o f f i c e s and WHO h e a d q u a r t e r s a r e a l l a s s o c i a t e d . Such a c o u n t r y h e a l t h p l a n n i n g p r o c e s s b e g i n s w i t h m u l t i -
s e c t o r a l problem a n a l y s i s , s e t t i n g o f o v e r a l l p r i o r i t i e s and p o l i c i e s , and i d e n t i f i c a t i o n o f the g e n e r a l s t r a t e g y o f a t t a c k and p a t t e r n o f c o l l a b o r a t i o n . I t i s o n l y w i t h i n t h i s frame- work t h a t d e t a i l e d p r o j e c t s and a c t i v i t i e s a r e e v e n t u a l l y f o r m u l a t e d . Thus the c o l l a b o r a t i v e
t e c h n i c a l c o o p e r a t i o n programming c o n c e p t i s f u n d a m e n t a l l y d i f f e r e n t from the fragmented p r o j e c t approach t o " t e c h n i c a l a s s i s t a n c e " r e q u e s t s i n t h e p a s t , and makes i t a l l the more i m p o r t a n t f o r the programming p r o c e s s e s and budget c y c l e s o f WHO to be brought i n t o c l o s e c o o r d i n a t i o n w i t h t h o s e o f Member S t a t e s .
2 . 6 The E x e c u t i v e Board p u r s u e d t h i s theme o f p r o g r a m m e - o r i e n t e d b u d g e t i n g and management i n i t s o r g a n i z a t i o n a l s t u d y on the i n t e r r e l a t i o n s h i p s between the c e n t r a l t e c h n i c a l s e r v i c e s o f WHO and programmes o f d i r e c t a s s i s t a n c e t o Member S t a t e s , i n w h i c h the Board s t r e s s e d the i m p o r t a n c e o f p r o g r a m m e - o r i e n t e d p l a n n i n g a t c o u n t r y l e v e l . As t h e E x e c u t i v e Board o b s e r v e d i n i t s o r g a n i z a t i o n a l s t u d y , " t h e a c c u m u l a t i o n i n W H O - a s s i s t e d c o u n t r y programmes o f an i n c r e a s i n g number o f i n d i v i d u a l p r o j e c t s , however e f f i c i e n t l y p l a n n e d and e f f e c t i v e l y d e l i v e r e d , has u n d o u b t e d l y r e s u l t e d i n a patchwork o f a c t i v i t i e s , l a c k i n g g e n e r a l purpose and b a l a n c e and b e a r i n g i n s u f f i c i e n t r e l a t i o n s h i p t o n a t i o n a l development. The s u p p o r t g i v e n by the O r g a n i z a t i o n t o n a t i o n a l h e a l t h p l a n n i n g has been a move i n the r i g h t d i r e c t i o n but i t has a l l too o f t e n been c o n c e i v e d i n d e p e n d e n t l y from o n g o i n g p r o j e c t a c t i v i t i e s and has t h e r e f o r e f a i l e d , i n most i n s t a n c e s , t o i n t e g r a t e them i n t o c o h e r e n t and m e a n i n g f u l
programmes".1 The E x e c u t i v e Board c o n c l u d e d , " i t i s e v i d e n t t h a t , a f t e r i t s f i r s t 25 y e a r s o f e x i s t e n c e , WHO s h o u l d n o t r e t a i n the c o n c e p t o f fragmented p r o j e c t s but must d e f i n i t e l y o r i e n t i t s d i r e c t a s s i s t a n c e t o c o u n t r i e s towards a s i n g l e approach w i t h i n w h i c h programmes s h o u l d be i d e n t i f i e d as s p e c i f i c s e t s o f a c t i v i t i e s t o be implemented i n a g i v e n p e r i o d but i n r e l a t i o n t o o v e r a l l o b j e c t i v e s " • 1
2 . 7 The E x t e r n a l A u d i t o r summarized the s i t u a t i o n i n h i s r e p o r t t o the W o r l d H e a l t h Assembly f o r the f i n a n c i a l year 1975, and c o n c l u d e d , "My recommendations emphasized the need f o r
p l a n n i n g to be p r o g r a m m e - o r i e n t e d , as d i s t i n c t from p r o j e c t - o r i e n t e d , w i t h a c l e a r e r d e f i n i - t i o n o f o b j e c t i v e s a g a i n s t w h i c h e v a l u a t i o n c o u l d be made, A s u b s t a n t i a l p a r t o f the p r e s e n t work w i t h f r e q u e n t budget r e v i s i o n s c o u l d be a v o i d e d . I f the r e g i o n a l committee t a k e s
d e c i s i o n s on p l a n n i n g and b u d g e t i n g o n l y o n b r o a d l i n e s , and i f the d e t a i l e d p r o j e c t p l a n n i n g takes p l a c e a t a l a t e r s t a g e and as p a r t o f the programme i m p l e m e n t a t i o n , i t w o u l d be p o s s i b l e to a r r i v e a t a smoother and more r a t i o n a l p l a n n i n g procedure"•^
2.8 I t i s s u b m i t t e d t h a t t h e time has come t o d i s c a r d t h e p r a c t i c e o f b u i l d i n g up the programme and budget on a s e r i e s o f fragmented p r o j e c t s and t o o r i e n t WHO1 s t e c h n i c a l
c o o p e r a t i o n towards a s i n g l e programme a p p r o a c h w i t h i n w h i c h p r o j e c t s a r e i d e n t i f i e d , p l a n n e d and implemented i n r e l a t i o n to o v e r a l l programme o b j e c t i v e s , and i n c l o s e r harmony w i t h the n a t i o n a l h e a l t h p l a n n i n g p r o c e s s and w i t h programming a t a l l l e v e l s o f WHO. To t h i s end a new programme b u d g e t i n g p r o c e d u r e i s s u g g e s t e d f o r c o n s i d e r a t i o n by the E x e c u t i v e Board and the W o r l d H e a l t h Assembly.
3, Suggested programme b u d g e t i n g p r o c e d u r e and budget c y c l e
3 . 1 I n s t e a d o f r e v i e w i n g d e t a i l s o f proposed p r o j e c t s and a c t i v i t i e s o f a s s i s t a n c e t o c o u n t r i e s two or t h r e e y e a r s p r i o r to the o p e r a t i n g p e r i o d , i t i s proposed t h a t the R e g i o n a l D i r e c t o r s i n i t i a t e the new programme budget c y c l e s i n the r e g i o n s by c o n s i d e r i n g w i t h WHO r e p r e s e n t a t i v e s and r e g i o n a l a d v i s e r s b r o a d p o l i c y t r e n d s , g e n e r a l p r i o r i t i e s i n h e a l t h ,
1 W H O O f f i c i a l R e c o r d s , N o . 2 2 3， 1 9 7 5 , p . 7 2 .
2 W H O O f f i c i a l R e c o r d s , N o . 2 3 0， 1 9 7 6， p . 1 2 4 .
E B 5 9 / 1 3 p a g e 4
r e g i o n a l a n d n a t i o n a l n e e d s and t h e i r s t a t e d p r i o r i t i e s , and t h e a p p r o p r i a t e b r o a d l i n e s o f
p a r t i c i p a t i o n by WHO and other p a r t n e r s in i n t e r n a t i o n a l h e a l t h work, in accordance with g u i d e l i n e s s e t by the General Programme of Work for a S p e c i f i c Period and v a r i o u s r e s o l u t i o n s of the r e g i o n a l committees, the Executive Board and the World Health Assembly. This d i a l o g u e would provide the b a s i s for o v e r a l l programme guidance to the WHO r e p r e s e n t a t i v e s and r e g i o n a l
a d v i s e r s and t h e s e t t i n g by t h e R e g i o n a l D i r e c t o r s o f p r o v i s i o n a l c o u n t r y p l a n n i n g f i g u r e sf o r WHO t e c h n i c a l c o o p e r a t i o n , within the t e n t a t i v e r e g i o n a l a l l o c a t i o n e s t a b l i s h e d by the D i r e c t o r - G e n e r a l for each r e g i o n , as i n d i c a t e d in s e c t i o n 4 below.
3 . 2 Following the e s t a b l i s h m e n t of p r o v i s i o n a l country planning f i g u r e s a t l e a s t two y e a r s
p r i o r t o t h e o p e r a t i o n p e r i o d , WHO r e p r e s e n t a t i v e s and r e g i o n a l a d v i s e r s w o u l d b e g i n t h e f o r m a l programming p r o c e s s w i t h n a t i o n a l a u t h o r i t i e s , w o r k i n g c l o s e l y w i t h t h e m i n i s t r y o f h e a l t h t o g e t h e r w i t h o f f i c i a l s i n r e l a t e d s o c i o e c o n o m i c f i e l d s a s may be a p p r o p r i a t e , t osecure mutual agreement on: (a) the main developmental t h r u s t s in p u b l i c h e a l t h planned for
t h e n e x t s e v e r a l y e a r s； (b) a c t i o n p r o p o s e d a t n a t i o n a l l e v e l t o g i v e e f f e c t t o t h e G e n e r a l Programme o f Work and r e s o l u t i o n s o f t h e W o r l d H e a l t h A s s e m b l y , t h e E x e c u t i v e B o a r d and regional committees； (с) areas i n which external cooperation w i l l be sought and i n which the p a r t i c i p a t i o n of WHO appears p a r t i c u l a r l y d e s i r a b l e； (d) programme o b j e c t i v e s , t a r g e t s andexpected output of WHO cooperation proposed for the biennium
；and (e) a t e n t a t i v e e s t i m a t e
o f t h e c o s t o f WHO t e c h n i c a l c o o p e r a t i o n , by programme.3 . 3 The c o n c l u s i o n s f r o m t h e programming p r o c e s s w i t h n a t i o n a l a u t h o r i t i e s o u t l i n e d above w o u l d be summarized i n t h e form o f n a r r a t i v e c o u n t r y programme s t a t e m e n t s , s e t t i n g o u t b r o a d
programme t r e n d s , o b j e c t i v e s and modes o f a c t i o n , g i v i n g t h e c o u n t r y p l a n n i n g f i g u r e s b r o k e n down by programme, b u t n o t g i v i n g d e t a i l s o f s t a f f , e q u i p m e n t , s u p p l i e s , t r a n s p o r t， f e l l o w - s h i p s o r o t h e r o b j e c t s o f e x p e n d i t u r e . T h e s e c o u n t r y programme s t a t e m e n t s and p l a n n i n g f i g u r e s by programme w o u l d be s u b m i t t e d , as p a r t o f t h e p r o p o s e d r e g i o n a l programme b u d g e t ,
to the r e g i o n a l committee f o r review. I f endorsed by the r e g i o n a l committee, the country
p l a n n i n g f i g u r e s 一 b r o k e n down by programme - w o u l d be c o n s o l i d a t e d i n t o t h e p r o p o s e d g l o b a lprogramme a l l o c a t i o n s to be included in the D i r e c t o r - G e n e r a l ' s proposed programme budget for c o n s i d e r a t i o n by the Executive Board and the World Health Assembly, a s i n d i c a t e d in s e c t i o n 5
b e l o w .3 . 4 The d e t a i l e d plans of o p e r a t i o n or work n e c e s s a r y f o r the implementation of s p e c i f i c c o o p e r a t i o n a c t i v i t i e s a t country l e v e l would continue to be developed j o i n t l y with n a t i o n a l a u t h o r i t i e s , for review with the Regional D i r e c t o r a t a meeting of WHO r e p r e s e n t a t i v e s ,
r e g i o n a l a d v i s e r s and n a t i o n a l c o o r d i n a t o r s as may be a p p r o p r i a t e , i n t h e y e a r i m m e d i a t e l ypreceding the o p e r a t i n g p e r i o d . I t i s only a t t h i s point that the broad programme p r o p o s a l s ,
r e f e r r e d t o i n p a r a g r a p h 3 . 3 above and i n c l u d e d i n t h e r e g i o n a l programme b u d g e t document, w o u l d be c a s t i n d e t a i l e d terms o f human r e s o u r c e s , e q u i p m e n t , s u p p l i e s , t r a n s p o r t arid o t h e r o b j e c t s o f e x p e n d i t u r e , w i t h s u p p o r t i n g c o s t e s t i m a t e s .3 . 5 The d i a l o g u e with n a t i o n a l a u t h o r i t i e s on the d e t a i l e d plan of o p e r a t i o n or work would
c o n t i n u e d u r i n g the o p e r a t i n g p e r i o d , as p a r t o f t h e p r o c e s s o f o n g o i n g management, e v a l u a t i o nand pre-planning of WHO t e c h n i c a l cooperation a c t i v i t i e s . While accounting c o n t r o l s would monitor expenditure within a u t h o r i t y to spend, s u f f i c i e n t f l e x i b i l i t y could be e x e r c i s e d to
a d a p t t o c h a n g i n g needs a n d c o n d i t i o n s * S a v i n g s i d e n t i f i e d d u r i n g t h e o p e r a t i n g p e r i o dwould continue to be a v a i l a b l e for reprogramming within the country, between c o u n t r i e s , or
even between r e g i o n s , as o v e r a l l programme o p e r a t i o n s and p r i o r i t i e s m i g h t r e q u i r e .
3.6 Annex I contains a chart i l l u s t r a t i n g the proposed programme budget c y c l e f o r the development of WHO country programmes for 1980-1981. The proposed procedure can be
summarized i n 10 s t e p s :Step 1 The Director-General would g i v e general programme guidance and n o t i f y t e n t a t i v e
r e g i o n a l a l l o c a t i o n s t o e a c h R e g i o n a l D i r e c t o r i n t h e s e c o n d h a l f o f 1977, a t l e a s t two y e a r s p r i o r t o t h e b e g i n n i n g o f t h e o p e r a t i n g p e r i o d 1980-1981.S t e p 2 G e n e r a l p r o g r a m m e g u i d a n c e a n d p r o v i s i o n a l c o u n t r y p l a n n i n g f i g u r e s , as i n d i c a t e d in s e c t i o n 4 b e l o w , w o u l d be d i s c u s s e d w i t h a n d c o m m u n i c a t e d to W H O r e p r e s e n t a - tives a n d p l a n n e r s in each region b y the R e g i o n a l D i r e c t o r s .
S t e p 3 F o r m a l p r o g r a m m e p l a n n i n g w i t h M e m b e r S t a t e s w o u l d be c a r r i e d out in the e a r l y part of 1978， i d e n t i f y i n g the p r o g r a m m e s for c o o p e r a t i o n in 1 9 8 0 - 1 9 8 1 .
S t e p 4 W H O r e p r e s e n t a t i v e s , r e g i o n a l a d v i s e r s a n d p l a n n e r s w o u l d m e e t in the s p r i n g o f 1978 to r e v i e w c o u n t r y p r o g r a m m e s t a t e m e n t s a n d p r o g r a m m e p l a n n i n g f i g u r e s for i n c l u s i o n in the r e g i o n a l p r o g r a m m e b u d g e t d o c u m e n t s .
S t e p 5 The p r o p o s e d r e g i o n a l p r o g r a m m e s w o u l d be r e v i e w e d b y the r e s p e c t i v e r e g i o n a l c o m m i t t e e s in late s u m m e r or e a r l y a u t u m n o f 1978， a n d the c o m m i t t e e s '
recommendations would be t r a n s m i t t e d t o the D i r e c t o r - G e n e r a l f o r c o n s o l i d a t i o n in the p r o p o s e d p r o g r a m m e b u d g e t p u b l i s h e d in the O f f i c i a l R e c o r d s s e r i e s . T h e form of p r e s e n t a t i o n of the p r o g r a m m e b u d g e t d o c u m e n t is d i s c u s s e d in s e c t i o n 5 b e l o w .
S t e p 6 The D i r e c t o r - G e n e r a l
1s p r o p o s e d p r o g r a m m e b u d g e t for 1 9 8 0 - 1 9 8 1 w o u l d be r e v i e w e d b y the E x e c u t i v e B o a r d in J a n u a r y 1979 a n d t r a n s m i t t e d , t o g e t h e r w i t h the
recommendations o f the Board, t o the World H e a l t h Assembly f o r r e v i e w and a p p r o v a l in M a y 1 9 7 9 .
S t e p 7 M e a n w h i l e , a l s o in 1 9 7 9 , d e t a i l e d p l a n s of o p e r a t i o n or w o r k for c o u n t r y p r o g r a m m e a c t i v i t i e s in 1980， the first year of the b i e n n i u m 1 9 8 0 - 1 9 8 1 , w o u l d b e d e v e l o p e d .
S t e p 8 T h e s e c o u n t r y p r o g r a m m e details w o u l d be f i n a l i z e d at the spring 1979 m e e t i n g of W H O r e p r e s e n t a t i v e s , w h e n d e t a i l e d p r o j e c t a n d a c t i v i t y i n f o r m a t i o n for the year 1980 w o u l d b e c o m e a v a i l a b l e . D e t a i l s for 1981 w o u l d be f i n a l i z e d at the m e e t i n g of W H O r e p r e s e n t a t i v e s in s p r i n g 1 9 8 0 .
S t e p 9 T h e b i e n n i u m 1 9 8 0 - 1 9 8 1 b e g i n s 1 J a n u a r y 1980 a n d ends 31 D e c e m b e r 1 9 8 1 .
S t e p 10 The D i r e c t o r - G e n e r a l
1s c o m p r e h e n s i v e r e p o r t o n the w o r k of W H O d u r i n g the e n t i r e 1 9 8 0 - 1 9 8 1 b i e n n i u m w o u l d be p u b l i s h e d in 1 9 8 2 , w h i l e a short r e p o r t c o v e r i n g s i g n i f i c a n t d e v e l o p m e n t s during 1980 w o u l d be i s s u e d in 1981 p u r s u a n t to r e s o l u t i o n W H A 2 8 . 2 9 .
14 . A l l o c a t i o n of r e s o u r c e s to p r o g r a m m e s a n d c o u n t r i e s
4 . 1 A s i n d i c a t e d in S t e p 1 o u t l i n e d in p a r a g r a p h 3.6 a b o v e , the p r o g r a m m e b u d g e t c y c l e in the r e g i o n s b e g i n s w i t h a t e n t a t i v e a l l o c a t i o n of r e s o u r c e s b y the D i r e c t o r - G e n e r a l to e a c h r e g i o n . The a l l o c a t i o n of W H O r e s o u r c e s b e t w e e n r e g i o n s has b e e n d e t e r m i n e d by a v a r i e t y of c o m p l e x c o n s i d e r a t i o n s a n d in a c c o r d a n c e w i t h the p o l i c y g u i d a n c e of the E x e c u t i v e B o a r d a n d the W o r l d H e a l t h A s s e m b l y . A s i h d i c a t e d to the f i f t y - f i f t h s e s s i o n of the E x e c u t i v e B o a r d in a document on " A l l o c a t i o n o f r e s o u r c e s b e t w e e n r e g i o n s " t h e D i r e c t o r - G e n e r a l h a s , in the a b s e n c e of m o r e s p e c i f i c g u i d a n c e on this m a t t e r , s o u g h t to e f f e c t n e c e s s a r y r e a l l o c a t i o n s b y m e a n s of s e l e c t i v e a p p l i c a t i o n o f i n c r e a s e s in a v a i l a b l e r e s o u r c e s , w i t h o u t r e d u c i n g the c u r r e n t level of a l l o c a t i o n to a n y o n e r e g i o n . A l s o , as h e i n d i c a t e d in his r e p o r t on
1 W H O O f f i c i a l R e c o r d s , N o . 2 2 6 , 1 9 7 5 , p . 1 3 . 2
D o c u m e n t
EB59/13 page 6
“ P o l i c y and s t r a t e g y f o r t h e d e v e l o p m e n t o f t e c h n i c a l c o o p e r a t i o n " , ^ t h e D i r e c t o r - G e n e r a l p r o p o s e s t o a l l o c a t e a d d i t i o n a l r e s o u r c e s f o r t e c h n i c a l c o o p e r a t i o n i n t h e r e g i o n s , t a k i n g i n t o c o n s i d e r a t i o n a number o f f a c t o r s , i n c l u d i n g t h e p o t e n t i a l f o r e x t r a b u d g e t a r y r e s o u r c e s w h i c h c o u l d be m o b i l i z e d w i t h i n e a c h r e g i o n .
4 . 2 The p r o b l e m o f a l l o c a t i o n o f r e s o u r c e s among r e g i o n s i s n e c e s s a r i l y c o n n e c t e d w i t h t h e p r o b l e m o f a l l o c a t i o n o f r e s o u r c e s t o c o u n t r i e s . On what b a s i s s h o u l d t h e p r o v i s i o n a l
c o u n t r y p l a n n i n g f i g u r e s be determined? I d e a l l y i t would be d e s i r a b l e to a l l o c a t e r e s o u r c e s
on t h e b a s i s o f a f o r m u l a u s i n g c r i t e r i a t h a t a r e as o b j e c t i v e and q u a n t i t a t i v e as p o s s i b l e .I t i s not e a s y t o r e a c h agreement on the p a r a m e t e r s o f such a f o r m u l a . S e v e r a l r e g i o n a l
o f f i c e s have s t u d i e d t h e p o s s i b i l i t y o f d e v e l o p i n g a r e s o u r c e a l l o c a t i o n f o r m u l a , m a k i n g u s eo f v a r i o u s i n d i c a t o r s o f the l e v e l o f h e a l t h , development, a v a i l a b l e r e s o u r c e s and n e e d . The
R e g i o n a l Committee f o r S o u t h - E a s t A s i a has e n d o r s e d i n p r i n c i p l e t h e use o f s u c h a f o r m u l a a p p l i e d t o i n c r e a s e s i n b u d g e t a r y r e s o u r c e s a v a i l a b l e t o c o u n t r i e s， t h u s d e t e r m i n i n g a t l e a s tt h e d i r e c t i o n w h i c h f u t u r e p r o p o r t i o n a l a l l o c a t i o n s s h o u l d t a k e , w i t h o u t c u t t i n g back on t h e c u r r e n t r e s o u r c e s a v a i l a b l e f o r t e c h n i c a l c o o p e r a t i o n w i t h any one c o u n t r y .
4 . 3 The WHO c o u n t r y p l a n n i n g f i g u r e s p r o p o s e d i n p a r a g r a p h 3 . 1 above s h o u l d n o t be c o n s i d e r e d as b e i n g synonymous w i t h UNDP " i n d i c a t i v e p l a n n i n g f i g u r e s " . W h i l e i t i s i m p o r t a n t f o r a government 's own p l a n n i n g t o know t h e p r o v i s i o n a l f i n a n c i a l i m p l i c a t i o n s o f WHO1 s c o l l a b o r a - t i o n , t h e f o c u s s h o u l d be on t h e form o f WHO a s s i s t a n c e r e a l l y n e e d e d , and n o t on t h e m o n e t a r y l e v e l p r o v i s i o n a l l y e s t a b l i s h e d . I n t h i s r e s p e c t , t h e WHO p r o v i s i o n a l p l a n n i n g f i g u r e i s
m e a n i n g f u l only i n the c o n t e x t o f the programmes o f t e c h n i c a l c o o p e r a t i o n e n v i s a g e d . What
i s most i m p o r t a n t i s t h e i d e n t i f i c a t i o n w i t h i n t h e p r o v i s i o n a l p l a n n i n g f i g u r e o f t h e main t h r u s t s , programmes and a p p r o a c h e s f o r WHO t e c h n i c a l c o o p e r a t i o n w i t h t h e c o u n t r y c o n c e r n e d . I n a d d i t i o n , t h e r e i s a c o n t i n u i n g n e e d f o r f l e x i b i l i t y f o r r e p r o g r a n m i i n g r e s o u r c e s between programmes w i t h i n c o u n t r i e s , a n d even between c o u n t r i e s o r between r e g i o n s as may be r e q u i r e d .
5. Form o f p r e s e n t a t i o n o f programme b u d g e t p r o p o s a l s
5. 1 The s u g g e s t e d new programme b u d g e t i n g p r o c e d u r e has i m p o r t a n t i m p l i c a t i o n s f o r t h e form o f p r e s e n t a t i o n and method o f r e v i e w o f t h e p r o p o s e d programme b u d g e t . As m e n t i o n e d i n p a r a g r a p h 3 . 3 a b o v e , t h e programme b u d g e t p r o p o s a l s j o i n t l y d e v e l o p e d w i t h n a t i o n a l a u t h o r i t i e s a n d s u b m i t t e d t o t h e r e s p e c t i v e r e g i o n a l c o m m i t t e e s w o u l d c o n s i s t o f n a r r a t i v e c o u n t r y programme s t a t e m e n t s , s e t t i n g o u t b r o a d programme t r e n d s , o b j e c t i v e s a n d modes o f a c t i o n , w i t h c o u n t r y p l a n n i n g f i g u r e s b r o k e n down by programme w i t h o u t u n d e r l y i n g d e t a i l .
5 . 2 U n d e r t h e p r o p o s e d WHO programme b u d g e t i n g p r o c e d u r e , w h i c h w o u l d n o t b u i l d up t h e programme budget as a n a g g r e g a t i o n o f d e t a i l e d p r o j e c t s and p r o j e c t b u d g e t s , i t w o u l d n o t be p o s s i b l e t o i n c l u d e i n t h e programme b u d g e t documents d e t a i l e d i n f o r m a t i o n o n i n d i v i d u a l p r o j e c t s , o b j e c t s o f e x p e n d i t u r e a n d s t a f f p o s t s a t c o u n t r y l e v e l s i n c e , a t t h e s t a g e o f p r e p a r a t i o n o f t h e programme b u d g e t , t h e s e w i l l n o t y e t have been d i s c u s s e d i n d e t a i l w i t h t h e n a t i o n a l a u t h o r i t i e s . T h i s does n o t mean t h a t s u c h d e t a i l e d i n f o r m a t i o n i s n o t r e q u i r e d f o r b u d g e t a r y and f i n a n c i a l c o n t r o l and programme r e v i e w p u r p o s e s . I t w o u l d c o n t i n u e t o be d e v e l o p e d and c o u l d be made a v a i l a b l e t o p o l i c y o r g a n s a t a t i m e c l o s e r t o t h e o p e r a t i n g p e r i o d . T h i s i s t h e i n t e r p r e t a t i o n t h a t i s l i k e l y t o be g i v e n t o r e s o l u t i o n SEA/RC29/R4 o f t h e R e g i o n a l Committee f o r S o u t h - E a s t A s i a ( r e p r o d u c e d i n Annex I I )， w h i c h e n d o r s e s t h e p r o p o s e d programme b u d g e t i n g p r o c e d u r e and form o f p r e s e n t a t i o n , b u t a l s o recommends use o f
a " f i r s t - y e a r p r o j e c t b u d g e t " . Thus, one y e a r a f t e r review o f the b i e n n i a l programme budget
by t h e r e g i o n a l c o m m i t t e e , i n t h e autumn i m m e d i a t e l y p r e c e d i n g t h e o p e r a t i n g p e r i o d , t h e c o m m i t t e e c o u l d r e c e i v e d e t a i l e d i n f o r m a t i o n on i n d i v i d u a l p r o j e c t s a n d t h e i r b u d g e t c o s t f o r t h e f i r s t y e a r o f t h e b i e n n i u m . The f o l l o w i n g y e a r t h e committee c o u l d r e c e i v e suchi n f o r m a t i o n on p r o j e c t s f o r the second y e a r . I t i s thus s u g g e s t e d t h a t , w h i l e d e t a i l e d
1 Document E B 5 9 / 6 , Annex I， p a r a . 6 . 3 . 4 .
a c t i v i t y and project lists w o u l d n o t be c o n t a i n e d in the p r o p o s e d programme budget d o c u m e n t s , such d e t a i l e d i n f o r m a t i o n w o u l d be c a p t u r e d and m o n i t o r e d by the W H O i n f o r m a t i o n system for p r o g r a m m e d e v e l o p m e n t , m a n a g e m e n t a n d evaluation p u r p o s e s , a n d m a d e a v a i l a b l e as a p p r o p r i a t e to the policy o r g a n s of W H O . In this connexion it should be r e c a l l e d that the T w e n t y - n i n t h W o r l d Health A s s e m b l y , in r e v i e w i n g the subject of a n n u a 1 reporting by the Director-General
，a d o p t e d r e s o l u t i o n W H A 2 9 . 3 6 ^ a u t h o r i z i n g the D i r e c t o r - G e n e r a l to d i s c o n t i n u e publishing a r e p o r t on individual projects on the understanding that the Director-General w o u l d m a k e a v a i l a b l e to m e m b e r s of the Board and delegates to the H e a l t h A s s e m b l y , o n r e q u e s t , full i n f o r m a t i o n on any p r o j e c t .
5.3 The Programme C o m m i t t e e of the E x e c u t i v e B o a r d , w h i c h h e l d its first m e e t i n g from 1 to 5 N o v e m b e r 1976 in G e n e v a , h a s endorsed a n u m b e r of proposed changes to r a t i o n a l i z e or
reduce d o c u m e n t a t i o n a n d publications relating to the W o r l d H e a l t h A s s e m b l y and the Executive B o a r d , pursuant to r e s o l u t i o n s WHA29.36-^ a n d W H A 2 9 . 4 8 . ^ The conclusions of the Committee are s u m m a r i z e d in the report of the Programme C o m m i t t e e of the E x e c u t i v e Board,^ N o t i n g that a l m o s t one-half of the 8 0 0 - p a g e proposed programme budget document published in the O f f i c i a l Records series c o n s t i t u t e s a republishing in " i n f o r m a t i o n annex" form of parts of r e g i o n a l b u d g e t a r y documents a l r e a d y reviewed by the various r e g i o n a l c o m m i t t e e s , the
Programme C o m m i t t e e h a s p r o p o s e d to the E x e c u t i v e B o a r d that such m a t e r i a l , including country programme statements and supporting b u d g e t a r y t a b l e s , no longer be r e p u b l i s h e d in the
proposed programme b u d g e t , p r o v i d e d that the r e g i o n a l m a t e r i a l w o u l d be available to delegates to the A s s e m b l y and m e m b e r s of the Board in the languages in w h i c h it w a s o r i g i n a l l y p r o d u c e d . 6. R e c a p i t u l a t i o n
6.1 The effect of the p r o p o s e d programme b u d g e t i n g procedure (1) b u i l d W H O t e c h n i c a l cooperation programmes on broad on d e t a i l e d , fragmented projects；
(2) improve planning of W H O country programmes in joint a u t h o r i t i e s w i t h i n c o u n t r y planning figures；
(3) present such proposals in the form of narrative country programme s t a t e m e n t s , w i t h c o u n t r y planning figures broken down b y programme；
(4) develop detailed plans of operation or work at a later s t a g e , closer to and as part of programme implementation
；(5) m a k e detailed i n f o r m a t i o n on projects as r e q u i r e d , w i t h o u t publishing such detail
w o u l d be to:
programme lines rather than
collaboration w i t h n a t i o n a l
a n d a c t i v i t i e s a v a i l a b l e to policy organs in the proposed programme b u d g e t .
1
W H O O f f i c i a l R e c o r d s ,
?
W H O O f f i c i a l R e c o r d s ,
3
D o c u m e n t E B 5 9 / 6 .
N o . 2 3 3 , 1 9 7 6 , p . 1 9 . N o . 2 3 3 , 1 9 7 6 , p . 3 0 .
PLANNING AND EXECUTION OF WHO COUNTRY PROGRAMMES
1977 1978 1979 1980 1981 1982
SUGGESTED FUTURE PROCEDURE IN
A c t i o n
Level
1. General programme guidance and
t e n t a t i v e a l l o c a t i o n f o r r e g i o n n o t i f i e d t o R e g i o n a l D i r e c t o r 2. G e n e r a l programme g u i d a n c e andp r o v i s i o n a l c o u n t r y p l a n n i n g f i g u r e s d i s c u s s e d w i t h WHO r e p r e s e n t a t i v e s and p l a n n e r s 3. F o r m a l programming w i t h Member
S t a t e s i d e n t i f y i n g programmes
f o r c o o p e r a t i o n4. WHO r e p r e s e n t a t i v e s , r e g i o n a l a d v i s e r s and p l a n n e r s r e v i e w c o u n t r y programme s t a t e m e n t s and programme p l a n n i n g f i g u r e s
5
eReview of WHO proposed r e g i o n a l
programme by r e g i o n a l committee 6. Review o f WHO programme budget
by E x e c u t i v e B o a r d and W o r l d H e a l t h A s s e m b l y
7, P r e p a r a t i o n o f d e t a i l e d p l a n s o f o p e r a t i o n o r work f o r c o u n t r y programme f o r each o p e r a t i n g y e a r
8• F i n a l i z a t i o n o f programme d e t a i l
9. F i r s t and s e c o n d o p e r a t i n g
y e a r s biennium
10. R e p o r t on work o f WHO d u r i n g p r i o r o p e r a t i n g year and b i e n n i u m
H e a d q u a r t e r s
R e g i o n
C o u n t r y
R e g i o n
R e g i o n
H e a d q u a r t e r s
C o u n t r y
R e g i o n
C o u n t r y
H e a d q u a r t e r s
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RESOLUTIONS OF REGIONAL COMMITTEES OF WHO ON DEVELOIMENT OF PROGRAMME BUDGETING AND MANAGEMENT OF WHO'S RESOURCES AT COUNTRY LEVEL AND ON
FORM OF PRESENTATION OF THE PROGRAMME BUDGET
ANNEX I I
REGIONAL COMMITTEE FOR AFRICA T w e n t y - s i x t h s e s s i o n
AFR/RC26/R7
The R e g i o n a l Committee,
H a v i n g examined t h e r e p o r t o f the R e g i o n a l D i r e c t o r on t h e p r e p a r a t i o n o f the programme budget and the management o f WHO r e s o u r c e s a t c o u n t r y l e v e l；^
S t r e s s i n g the i m p o r t a n c e o f an approach based on the programmes f o r c o n c e r t e d p l a n n i n g and i m p l e m e n t a t i o n o f WHO t e c h n i c a l c o l l a b o r a t i o n a t c o u n t r y l e v e l ,
1. ENDORSES the p r o c e d u r e f o r p r e p a r a t i o n o f t h e programme budget and t h e form o f p r e s e n t a t i o n o f the b u d g e t , c o n s i s t i n g o f :
( i ) p r e p a r i n g t e c h n i c a l c o o p e r a t i o n programmes e x p r e s s e d i n terms o f a g e n e r a l programme r a t h e r t h a n i n the form o f i s o l a t e d and d e t a i l e d p r o j e c t s；
( i i ) p l a n n i n g the programmes i n c l o s e c o l l a b o r a t i o n w i t h the n a t i o n a l a u t h o r i t i e s , t a k i n g the f i g u r e s f o r c o u n t r y p l a n n i n g i n t o account；
( i i i ) p r e s e n t i n g d e s c r i p t i v e o u t l i n e s o f t h e c o u n t r y programme, the p l a n n i n g f i g u r e s b e i n g broken down a c c o r d i n g t o the main programme s e c t o r s , and
( i v ) p r e p a r i n g d e t a i l e d p l a n s f o r i m p l e m e n t a t i o n c l o s e r t o t h e t i m e when i t w o u l d be put i n t o e f f e c t .
2. RECOMMENDS t o the E x e c u t i v e Board t h a t the p r o p o s e d p r o c e d u r e f o r p r e p a r a t i o n o f the programme budget t a k e e f f e c t as from the n e x t programme budget c y c l e and t h a t t h e p r o p o s e d form o f p r e s e n t a t i o n o f the budget be a d o p t e d f o r t h e p r o p o s e d programme budget 1980-1981,
1 Document AFF./RC26/8.
E B 5 9 / 1 3 p a g e 1 0
Annex I I
REGIONAL COMMITTEE FOR SOUTH-EAST ASIA T w e n t y - n i n t h s e s s i o n
SEA/RC29/R4
The R e g i o n a l Committee,
H a v i n g c o n s i d e r e d the document on the s u b j e c t (SEA/RC29/lO) d e a l i n g w i t h the development
of programme budgeting and m a n a g e m e n t of WHO'S resources at country l e v e l , and
S t r e s s i n g t h e i m p o r t a n c e o f a p r o g r a m m e - o r i e n t e d a p p r o a c h t o the c o l l a b o r a t i v e p l a n n i n g and i m p l e m e n t a t i o n o f WHO t e c h n i c a l c o o p e r a t i o n a t c o u n t r y l e v e l ,
1. ENDORSES the programme b u d g e t i n g p r o c e d u r e s and the form o f budget p r e s e n t a t i o n o u t l i n e d i n t h e r e p o r t , and
2€ RECOMMENDS t o the E x e c u t i v e Board t h a t the proposed programme b u d g e t i n g p r o c e d u r e s be a d o p t e d w i t h e f f e c t from the f o r t h c o m i n g programme budget c y c l e and t h a t the proposed form o f budget p r e s e n t a t i o n , i n c l u d i n g a f i r s t - y e a r p r o j e c t b u d g e t , be i n t r o d u c e d i n the proposed programme budget f o r 1980-1981.
REGIONAL COMMITTEE FOR THE EASTERN MEDITERRANEAN T w e n t y - s i x t h s e s s i o n
SUB-COMMITTEE A EM/RC26A/R8
The Sub-Committee,
H a v i n g c o n s i d e r e d the r e p o r t o f the R e g i o n a l D i r e c t o r on the development o f programme b u d g e t i n g and management o f WHO1 s r e s o u r c e s a t c o u n t r y l e v e l , ^ and
S t r e s s i n g t h e i m p o r t a n c e o f a programme-oriented approach t o the c o l l a b o r a t i v e p l a n n i n g and i m p l e m e n t a t i o n o f WHO t e c h n i c a l c o o p e r a t i o n a t c o u n t r y l e v e l ,
1. ENDORSES the programme b u d g e t i n g p r o c e d u r e s and the form o f budget p r e s e n t a t i o n o u t l i n e d i n the r e p o r t ,
2. RECOMMENDS t o t h e E x e c u t i v e B o a r d t h a t t h e proposed programme b u d g e t i n g p r o c e d u r e s be a d o p t e d w i t h e f f e c t from the f o r t h c o m i n g programme budget c y c l e and t h a t t h e proposed form o f budget p r e s e n t a t i o n be i n t r o d u c e d i n the proposed programme budget f o r 1980-1981,
1
Document
E M / R C 2 Ó / 8 .Annex I I
REGIONAL COMMITTEE FOR THE WESTERN P A C I F I C T w e n t y - s e v e n t h s e s s i o n
W P R / R C 2 7 / R 1
The R e g i o n a l C o m m i t t e e ,
H a v i n g c o n s i d e r e d t h e r e p o r t o f t h e R e g i o n a l D i r e c t o r on t h e d e v e l o p m e n t o f programme b u d g e t i n g and management o f WHO1 s r e s o u r c e s a t c o u n t r y l e v e l , 1
S t r e s s i n g t h e i m p o r t a n c e o f a p r o g r a m m e - o r i e n t e d a p p r o a c h t o t h e c o l l a b o r a t i v e p l a n n i n g a n d i m p l e m e n t a t i o n o f WHO t e c h n i c a l c o o p e r a t i o n a t c o u n t r y l e v e l ,
1. ENDORSES t h e programme b u d g e t i n g p r o c e d u r e s a n d t h e form o f b u d g e t p r e s e n t a t i o n o u t l i n e d i n t h e r e p o r t； and
2. RECOMMENDS t o t h e E x e c u t i v e B o a r d t h a t t h e p r o p o s e d programme b u d g e t i n g p r o c e d u r e s be a d o p t e d w i t h e f f e c t f r o m t h e f o r t h c o m i n g programme b u d g e t c y c l e and t h a t t h e p r o p o s e d f o r m o f b u d g e t p r e s e n t a t i o n be i n t r o d u c e d i n t h e p r o p o s e d programme b u d g e t f o r 1 9 8 0 - 1 9 8 1 .
1 Document W P R / R C2 7 / 4 .
•k -k
