EETING REPORT M

M EETING REPORT

First meeting of the Global Network of WHO national counterparts for implementation of the Global strategy

to reduce the harmful use of alcohol

M EETING REPORT

First meeting of the Global Network of WHO national counterparts for implementation of the Global strategy to reduce the harmful use of alcohol

11 – 13 February 2011

Venue: Executive Board Room

WHO Headquarters, Geneva, Switzerland

WHO Library Cataloguing-in-Publication Data:

Meeting report: first meeting of the global network of WHO national counterparts for implementation of the global strategy to reduce the harmful use of alcohol.

1.Alcohol drinking - adverse effects. 2.Social control - methods. 3.Alcoholism - prevention and control.

4.National health programs. I.World Health Organization.

ISBN 978 92 4 150226 9 (NLM classification: WM 274)

© World Health Organization 2011

All rights reserved. Publications of the World Health Organization are available on the WHO web site (www.who.int) or can be purchased from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax:

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The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement.

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This publication contains the collective views of an international group of experts and does not necessarily represent the decisions or the policies of the World Health Organization..

1

Table of Contents

Introduction ... 3

Opening ... 4

Update on recent developments ... 5

WHO headquarters ... 5

WHO African Region ... 5

WHO Region of the Americas ... 6

WHO Eastern Mediterranean Region ... 6

WHO European Region ... 6

WHO South-East Asia Region ... 6

WHO Western Pacific Region ... 7

Information session ... 7

Impact of the harmful use of alcohol ... 7

Effectiveness of policy options ... 8

Implementation mechanisms and structures for the global strategy ... 8

Terms of reference for the Global Network ... 10

Implementation plan for the global strategy and its priority areas ... 11

Task forces and working groups ... 11

Task force 1: Public health advocacy and partnership ... 11!

Task force 2: Technical support and capacity-building ... 12!

Task force 3: Production and dissemination of knowledge ... 12!

Task force 4: Resource mobilization ... 13!

Working group on marketing ... 13!

Working group on health services response ... 14!

Regional policy frameworks and action plans: regional consultations ... 14

WHO African Region ... 15

WHO Region of the Americas ... 15

WHO Eastern Mediterranean Region ... 16

WHO European Region ... 16

WHO South-East Asia Region ... 16

WHO Western Pacific Region ... 17

Monitoring progress on implementation of the global strategy ... 17

Launch of the Global status report on alcohol and health ... 18

Conclusion of the meeting ... 19

Annexes ... 21

Annex 1. Terms of Reference ... 22

Annex 2. Schematic framework of the monitoring and evaluation ... 23

Annex 3. Representatives on the Coordinating Council ... 24

Annex 4. Scope and purpose ... 25

Annex 5. Programme ... 26

Annex 6. List of participants ... 29

3

Meeting report

First meeting of the Global Network of WHO national counterparts for implementation of the Global strategy to reduce the harmful use of alcohol

I

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WHO European Region

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/'C-.*!/.*!1$'-#!'&1!>$C.&1!+$'1%&)!*%>;!/'C-.*!/.*!-#$!1%>$'>$!8(*1$&!%&!023Y>!W(*.=$'&!

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-:%C$!-#$!:.*+1!'G$*')$N!"#$!W(*.=$'&!D&%.&!#'>!'&!'+C.#.+!=.+%CAP!'&1!'!C.,='*%>.&!./!

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WHO South-East Asia Region

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7

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WHO Western Pacific Region

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I

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Impact of the harmful use of alcohol

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C'(>$!./!%++R#$'+-#N!Z..*$*!=$.=+$!#'G$!'!#%)#$*!*%>;!./!1A%&)!/*.,!'+C.#.+!C.&>(,=-%.&!-#'&!*%C#$*!=$.=+$P!

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Effectiveness of policy options

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9

Figure 1: Structure of the work of the global network of WHO counterparts.

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Terms of reference for the Global Network

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Implementation plan for the global strategy and its priority areas

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Task forces and working groups

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Task force 1: Public health advocacy and partnership

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Task force 2: Technical support and capacity-building

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#$'+-#N!!

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/.*C$!>'%1P!>#.(+1!8$!>$&>%-%G$!-.!C(+-(*'+!%>>($>!'&1!-.!#(,'&!*%)#->!'&1!)$&1$*N!!

O$,8$*>!./!-#$!-'>;!/.*C$!'>;$1!-#'-!*$1(C-%.&!./!-#$!#'*,/(+!(>$!./!'+C.#.+!>#.(+1!8$!%&C+(1$1!%&!C.(&-*%$>Y!

&'-%.&'+!#$'+-#!=+'&>P!'&1!%&!-*'%&%&)!-..+>!/.*!#$'+-#!'&1!.-#$*!=*./$>>%.&'+>!5%&C+(1%&)!-#.>$!%&!.-#$*!>$C-.*>6N!

<.(&-*%$>!:$*$!(*)$1!-.!>$$;!%&&.G'-%G$!>.(*C$>!./!/(&1%&)!'&1!-.!$Q=+.%-!=.+%-%C'+!.==.*-(&%-%$>!C*$'-$1!8A!

-#$!'CC$=-'&C$!./!-#$!)+.8'+!>-*'-$)AN!O$,8$*>!'+>.!C'++$1!/.*!=*$G$&-%.&!'C-%G%-%$>!-#'-!:.(+1!$>=$C%'++A!

-'*)$-!A.(&)!=$.=+$N!

Task force 3: Production and dissemination of knowledge

"'>;!/.*C$!T!>-*$>>$1!-#$!%,=.*-'&C$!./!'CC(*'-$!%&/.*,'-%.&!/.*!8.-#!'>>$>>%&)!&$$1>!'&1!*'%>%&)!=(8+%C!

':'*$&$>>!./!-#$>$!&$$1>N!?&/.*,'-%.&!:'>!'+>.!&$$1$1!/.*!=+'&&%&)P!/.*!)$&$*'-%&)!&$:!;&.:+$1)$P!'&1!/.*!

'*)(%&)!/.*!-#$!%&-*.1(C-%.&!./!&$:!=.+%C%$>!'&1!=*.)*',,$>N!"#$!-'>;!/.*C$!/$+-!-#$*$!:'>!'!&$$1!/.*!'&!

%&G$&-.*A!./!C(**$&-!1'-'P!'&1!-#'-!/(-(*$!1'-'!C.++$C-%.&!>#.(+1!/.C(>!.&!'!>,'++!&(,8$*!./!C.&C$*&>!*'-#$*!

-#'&!'!+.-N!?-!:'>!(*)$1!-#'-!>-'&1'*1!1$/%&%-%.&>!>#.(+1!8$!(>$1!%&!'++!C.(&-*%$>!:#$&!C.++$C-%&)!1'-'!/.*!-#$!

13 )+.8'+!>-*'-$)AN!O$,8$*>!./!-#$!)*.(=!'+>.!/$+-!-#'-!'11%-%.&'+!1'-'!:$*$!&$$1$1!%&!,.>-!

C.(&-*%$>!.&!%&/.*,'+!'+C.#.+!=*.1(C-%.&!'&1!C.&>(,=-%.&N!!

"#$!-'>;!/.*C$!/$+-!-#$*$!:'>!'!='*-%C(+'*+A!>-*.&)!&$$1!/.*!%&-$*G$&-%.&>!'&1!1'-'!*$+$G'&-!

-.!A.(&)!=$.=+$N!K.*!-#$!/(-(*$P!-'>;!/.*C$!,$,8$*>!+%>-$1!'!&(,8$*!./!=*%.*%-%$>!%&!

C.,,(&%C'-%&)!%&/.*,'-%.&P!%&C+(1%&)!'&!%&-$*&'-%.&'+!U*$1(C$!'+C.#.+!#'*,V!1'AP!-#$!

*$C.)&%-%.&!'&1!(&1$*>-'&1%&)!./!$Q%>-%&)!8$+%$/>!.&!'+C.#.+P!'&1!/%&1%&)!:'A>!-.!C.**$C-!

,%>(&1$*>-'&1%&)>N!"#$!(>$!./!,(+-%=+$!,$1%'!>.(*C$>!:'>!*$C.,,$&1$1!I!%&C+(1%&)!-#$!

%&G.+G$,$&-!./!)*.(=>!>(C#!'>!973>P!=*./$>>%.&'+!'>>.C%'-%.&>P!'&1!C.,,(&%-A!'&1!

*$+%)%.(>!+$'1$*>N!?-!:'>!/$+-!-#'-!%&/.*,'-%.&!1%>>$,%&'-%.&!$//.*->!:.(+1!&$$1!-.!-'*)$-!,(+-%=+$!'(1%$&C$>N!

B$>$'*C#!=*%.*%-%$>!:.(+1!'+>.!&$$1!-.!8$!%1$&-%/%$1N!"'>;!/.*C$!,$,8$*>!'11%-%.&'++A!>-*$>>$1!-#$!&$$1!-.!

C..*1%&'-$!C.,,(&%C'-%.&!'&1!%&/.*,'-%.&!1%>>$,%&'-%.&!$//.*->!8$-:$$&!1%//$*$&-!+$G$+>!'&1!>$C-.*>N!!

Task force 4: Resource mobilization

"'>;!/.*C$!_!/.C(>$1!.&!*$>.(*C$!,.8%+%4'-%.&N!"#$!-'>;!/.*C$!+%>-$1!'!&(,8$*!./!/%&'&C%'+!

C#'++$&)$>!I!>(C#!'>!-#$!&$$1!/.*!$//.*->!'%,$1!'-!*$1(C%&)!-#$!#'*,/(+!(>$!./!'+C.#.+!-.!

C.,=$-$!:%-#!.-#$*!=*%.*%-%$>N!E-!-#$!>',$!-%,$P!-'>;!/.*C$!,$,8$*>!&.-$1!-#'-!'!*'&)$!./!

=*.,%>%&)!.==.*-(&%-%$>!$Q%>-$1!/.*!+%&;%&)!*$1(C-%.&!./!-#$!#'*,/(+!(>$!./!'+C.#.+!:%-#!.-#$*!

'*$'>!./!C.&C$*&N!?-!:'>!>-*$>>$1!-#'-!-#$*$!:'>!'!&$$1!&.-![(>-!/.*!/(&1%&)!8(-!'+>.!/.*!

#(,'&!*$>.(*C$>!I!8.-#!'-!&'-%.&'+!+$G$+!'&1!%&!023!I!'&1!/.*!%&/*'>-*(C-(*$N!?-!:'>!=.%&-$1!

.(-!-#'-!-#$*$!%>!&.!/.*,'+!/(&1%&)!/*.,!1$G$+.=,$&-!')$&C%$>!/.*!'+C.#.+!=*.8+$,>N!!

O$,8$*>!./!-#$!-'>;!/.*C$!=*.=.>$1!-#'-!023!>#.(+1!,'=P!*$G%$:!'&1!>#'*$!%&/.*,'-%.&!.&!/(&1%&)!

.==.*-(&%-%$>!/.*!*$>$'*C#P!-*$'-,$&-!'&1!-$C#&%C'+!>(==.*-N!"#$A!'+>.!>())$>-$1!'1G.C'-%&)!'-!&'-%.&'+!+$G$+!

/.*!%&C*$'>$1!=(8+%C!*$>.(*C$>P!$>=$C%'++A!>%&C$!-#$!#'*,/(+!(>$!./!'+C.#.+!#'>!$&.*,.(>!#$'+-#!'&1!>.C%'+!

C.>->N!023!:'>!'>;$1!-.!#$+=!C.(&-*%$>!-.!'1G.C'-$!/.*!/(&1>N!K.*!-#$!/(-(*$P!-#$!-'>;!/.*C$!/$+-!-#'-!,.*$!

&$-:.*;%&)!.&!*$>.(*C$!,.8%+%4'-%.&!:.(+1!8$!&$$1$1N!

Working group on marketing

"#$!:.*;%&)!)*.(=!.&!,'*;$-%&)!+%>-$1!'!G'*%$-A!./!C#'++$&)$>!'-!&'-%.&'+!+$G$+P!>(C#!'>!

1%//$*$&-!+$G$+>!./!1$G$+.=,$&-!'&1!1%//$*$&-!'==*.'C#$>!-.!-#$!C.&-*.+!./!'+C.#.+!

,'*;$-%&)N!3-#$*!C#'++$&)$>!%&C+(1$1!C*.>>R8.*1$*!,'*;$-%&)!:#%C#!%>!8$C.,%&)!,.*$!

1%//%C(+-!-.!*$)(+'-$P!C+'(>$>!%&!-*'1$!')*$$,$&->!-#'-!).G$*&,$&->!#'G$!'+*$'1A!

&$).-%'-$1!'&1!')*$$1!-.P!'&1!=.+%-%C'+!'&1!$C.&.,%C!%&-$*$>->!-#'-!,'A!C.,=$-$!:%-#!

#$'+-#!%&-$*$>->N!

O$,8$*>!./!-#$!:.*;%&)!)*.(=!=.%&-$1!-.!-#$!+'C;!./!+$)'+!C.,=$-$&C$!%&!-#$!#$'+-#!

>$C-.*P!-#$!/*$F($&-!+'C;!./!=.+%-%C'+!C.,,%-,$&-!-.!'11*$>>%&)!%>>($>!*$+'-$1!-.!'+C.#.+P!'&1!-#$!+'C;!./!=(8+%C!

':'*$&$>>!'&1!>(==.*-N!"#$*$!:'>!'+>.!>'%1!-.!8$!'!+'C;!./!$Q=$*-%>$!%&!*$)(+'-%.&!'&1!$&/.*C$,$&-!%&!'!

&(,8$*!./!C.(&-*%$>P!=+(>!'!+'C;!./!;&.:+$1)$!./!,'*;$-%&)!-$C#&%F($>N!?&!='*-%C(+'*P!-#$*$!./-$&!>$$,$1!-.!8$!

&.!:'A!-.!8*%1)$!-#$!)'=!8$-:$$&!$Q=$*-%>$!'&1!=.+%CAN!!

@())$>-%.&>!-.!-#$!@$C*$-'*%'-!%&C+(1$1!%&C*$'>%&)!;&.:+$1)$!'&1!$Q=$*-%>$!%&!*$)(+'-%&)!'&1!%&!-#$!C.>-R

$//$C-%G$&$>>!./!=.+%C%$>!.&!,'*;$-%&)N!0.*;%&)!)*.(=!,$,8$*>!(*)$1!-#$!1$G$+.=,$&-!'&1!1$>C*%=-%.&!./P!

'&1!>#'*%&)!./!$Q=$*%$&C$>!:%-#P!1%//$*$&-!,.1$+>!/.*!:.*;%&)!:%-#!,(+-%=+$!>$C-.*>!'&1!1$'+%&)!:%-#!C*.>>R 8.*1$*!%>>($>N!X.C(,$&-'-%.&!:'>!*$F($>-$1!.&!8$>-!=*'C-%C$>!%&!-#$!C.&-*.+!./!,'*;$-%&)P!'&1!.&!C+'*%/A%&)!

-#$!*%>;>!'&1!.==.*-(&%-%$>!./!-*'1$!')*$$,$&->N!?&!'11%-%.&P!-#$!:.*;%&)!)*.(=!C'++$1!/.*!'!-..+!/.*!,.&%-.*%&)!

-#$!G.+(,$!'&1!C.&-$&-!./!,'*;$-%&)P!=+(>!1%//$*$&-!-$C#&%C'+!.=-%.&>!5+%>-$1!'CC.*1%&)!-.!C.>-R$//$C-%G$&$>>6!

/.*!*$)(+'-%&)!,'*;$-%&)N!!

O$,8$*>!./!-#$!:.*;%&)!)*.(=!/$+-!-#'-!-#$!)*.(=Y>!-.=%C!:'>!G$*A!'==*.=*%'-$!8(-!/$+-!-#'-!%&!/(-(*$!>.,$!

'11%-%.&'+!$Q=$*-%>$!:.(+1!8$!&$$1$1N!"#$!:.*;%&)!)*.(=!/$+-!-#'-!-#$*$!:'>!=+$&-A!./!$G%1$&C$!./!-#$!%,='C-!

./!,'*;$-%&)!.&!A.(&)!=$.=+$P!'&1!'!C.&-%&($1!$Q='&>%.&!./!,'*;$-%&)!'&1!./!,$1%'!%&/+($&C$!'C*.>>!8.*1$*>d!

%&!>(C#!'!>%-('-%.&P!,$,8$*>!>'%1P!-#$!$Q-$&>%G$!*$>-*%C-%.&!./!,'*;$-%&)!:.(+1!#'G$!'!=.>%-%G$!$//$C-!.&!A.(&)!

=$.=+$N!!

Working group on health services response

"#$!:.*;%&)!)*.(=!.&!#$'+-#!>$*G%C$>!*$>=.&>$!=.%&-$1!-.!'!&(,8$*!./!)'=>!%&!

-#$!C(**$&-!*$>=.&>$!-.!-#$!#'*,/(+!(>$!./!'+C.#.+N!"#$>$!%&C+(1$1!'!+'C;!./!

*$>.(*C$>!/.*!-*$'-,$&-P!'!+'C;!./!(=-';$!./!-*$'-,$&-!5>%&C$!,'&A!=$.=+$!1.!

&.-!*$'+%4$!-#$A!C'&!8$&$/%-!/*.,!-*$'-,$&-P!,'&A!:%-#!'+C.#.+!=*.8+$,>!'*$!

&.-!%1$&-%/%$1!$G$&!:#$&!-#$A!1.!C.&>(+-!#$'+-#!>$*G%C$>P!'&1!-*$'-,$&-!%>!

>%,=+A!&.-!'--*'C-%G$!-.!>.,$!)*.(=>6P!'&1!'!+'C;!./!1'-'!5.&!-#$!&$$1!/.*!-*$'-,$&-P!.&!>=$C%'+!)*.(=>P!.&!-#$!

+%&;>!8$-:$$&!'+C.#.+!'&1!.-#$*!1%>$'>$>P!'&1!.&!>.C%'+!'&1!$C.&.,%C!C.>->!./!'+C.#.+!(>$!1%>.*1$*>6N!!

O$,8$*>!./!-#$!:.*;%&)!)*.(=!'+>.!=.%&-$1!-.!+.:!':'*$&$>>!./!-#$!#$'+-#!$//$C->!./!'+C.#.+!I!',.&)!-#$!

)$&$*'+!=(8+%C!'&1!$G$&!',.&)!#$'+-#!:.*;$*>!I!=+(>!,%>%&/.*,'-%.&!.*!,%>%&-$*=*$-'-%.&!./!%&/.*,'-%.&!.&!

-#$!=.-$&-%'+!8$&$/%->!./!'+C.#.+!C.&>(,=-%.&N!"*$'-,$&-!>A>-$,>!/.*!'+C.#.+!(>$!1%>.*1$*>!'*$!./-$&!

/*'),$&-$1!'&1!&.-!/(++A!%&-$)*'-$1!%&-.!-#$!#$'+-#RC'*$!>A>-$,P!'&1!-#$*$!%>!/*$F($&-+A!&.!>-*.&)!&'-%.&'+!

'+C.#.+!=.+%CAP!-#$!)*.(=!>'%1N!!

0.*;%&)!)*.(=!,$,8$*>!>-*$>>$1!-#$!G'+($!./!'!&(,8$*!./!+.:RC.>-!-*$'-,$&-!.=-%.&>!>(C#!'>!>$+/R#$+=!

)*.(=>P!8*%$/!%&-$*G$&-%.&>P!'&1!C.,,(&%-A!C'*$!./!-#.>$!'//$C-$1N!"#$A!'+>.!=.%&-$1!-.!-#$!+%&;>!8$-:$$&!-#$!

#'*,/(+!(>$!./!'+C.#.+!'&1!-#$!=*$>$&C$!./!.-#$*!C.&1%-%.&>!>(C#!'>!(&:'&-$1!=*$)&'&CAP!>$Q('++A!-*'&>,%--$1!

%&/$C-%.&>!5%&C+(1%&)!2?^bE?X@6P!.-#$*!,$&-'+!'&1!8$#'G%.(*'+!1%>.*1$*>P!$,=+.A,$&-!1%//%C(+-%$>!'&1!>.C%'+!

=*.8+$,>N!

"#$!C.&C+(>%.&>!./!-#$!:.*;%&)!)*.(=!%&C+(1$1!=.>>%8%+%-%$>!>(C#!'>!(>%&)!'!=*.=.*-%.&!./!$QC%>$!-'Q$>!.&!

'+C.#.+!-.!/(&1!-*$'-,$&-P!%,=*.G%&)!*$>$'*C#!'&1!1'-'!C.++$C-%.&!-.!>#.:!-#$!*$+'-%G$!=*%.*%-A!./!'+C.#.+R

*$+'-$1!#'*,P!'&1!,.*$!$//$C-%G$!(>$!./!-#$!,$1%'N!0.*;%&)!)*.(=!,$,8$*>!/$+-!-#$*$!:'>!'!&$$1!/.*!,.*$!

-*'%&%&)!./!)$&$*'+!#$'+-#RC'*$!>-'//!%&!#.:!-.!%1$&-%/A!'+C.#.+R*$+'-$1!#'*,P!,.*$!-*'%&%&)!./!,$&-'+!#$'+-#!

>-'//!%&!#.:!-.!,'&')$!'+C.#.+!=*.8+$,>P!-#$!%&C+(>%.&!./!,'&')$,$&-!./!'+C.#.+R(>$!1%>.*1$*>!%&!,$1%C'+!

>C#..+!C(**%C(+'P!'&1!>=$C%/%$1!,%&%,(,!>-'&1'*1>!./!C'*$N!!

E11%-%.&'++AP!-#$!)*.(=!/$+-!-#'-!#$'+-#RC'*$!:.*;$*>!'-!=*%,'*A!+$G$+!'&1!%&!)$&$*'+!#.>=%-'+>!>#.(+1!8$!'8+$!-.!

%1$&-%/A!'+C.#.+R(>$!1%>.*1$*>P!C.&1(C-!>C*$$&%&)!'&1!=*.G%1$!8*%$/!%&-$*G$&-%.&>N!0.*;%&)!)*.(=!,$,8$*>!

'+>.!=*.=.>$1!'!:%1$!1%>>$,%&'-%.&!./!-$C#&%C'+!-..+>!.&!%1$&-%/%C'-%.&!'&1!C'*$!./!=$*>.&>!:%-#!'+C.#.+R

*$+'-$1!=*.8+$,>!%&!1%//$*$&-!C.(&-*%$>N!!

15

R

:

REGIONAL CONSULTATIONS

K.++.:%&)!-#$!/$$18'C;!*$=.*->!/*.,!-#$!/.(*!-'>;!/.*C$>!'&1!-:.!:.*;%&)!)*.(=>P!&'-%.&'+!C.(&-$*='*->!

1%G%1$1!%&-.!-#$%*!*$)%.&'+!)*.(=%&)>!/.*!C.&>(+-'-%.&>!1(*%&)!:#%C#!-#$A!1%>C(>>$1!-#$%*!*$)%.&'+!=.+%C%$>!'&1!

'C-%.&!=+'&>!/.*!*$1(C%&)!-#$!#'*,/(+!(>$!./!'+C.#.+N!"#$!/.++.:%&)!8*%$/!*$=.*->!*$/+$C-!-#$!,'%&!=.%&->!./!-#$!

*$)%.&'+!C.&>(+-'-%.&>N!

WHO African Region

"#$!-$*,>!./!*$/$*$&C$!./!-#$!B$)%.&'+!&$-:.*;!:$*$!=*$>$&-$1!'&1!

1%>C(>>$1!:%-#!&'-%.&'+!C.(&-$*='*->!'&1!%-!:'>!1$C%1$1!-#'-!-#$!B$)%.&'+!

3//%C$!:.(+1!*$G$*-!8'C;!-.!C.(&-$*='*->!'/-$*!'11*$>>%&)!C.,,$&->!'&1!

>())$>-%.&>!,'1$N!B:'&1'!'&1!"'&4'&%'!#'G$!8$$&!$+$C-$1!'>!C#'%*>!'>!

-#%>!&$-:.*;!'&1!:%++!8$!*$>=.&>%8+$!/.*!*$=*$>$&-%&)!-#$!E/*%C'&!*$)%.&!%&!

-#$!)+.8'+!&$-:.*;N!"#$!1*'/-!E+C.#.+!EC-%.&!Z+'&!/.*!-#$!=$*%.1!LMJLI LMLM!/.*!-#$!023!E/*%C'&!B$)%.&!:'>!=*$>$&-$1!'&1!1%>C(>>$1!:%-#!

&'-%.&'+!C.(&-$*='*->!'&1!>())$>-%.&>!./!!=.>>%8+$!',$&1,$&->!-.!>.,$!./!-#$!:.*1%&)!(>$1!%&!E/*%C'Y>!'C-%.&!

=+'&!%&!.*1$*!-.!,';$!%->!,$'&%&)!C+$'*$*!:$*$!,'1$N!"#$*$!:'>!'!C'++!/.*!-$C#&%C'+!>(==.*-!/*.,!023!%&!

%,=+$,$&-%&)!-#$!=+'&P!'>!:$++!'>!/.*!023!>(==.*-!%&!C.++$C-%&)!1'-'!'&1!1%>>$,%&'-%&)!%&/.*,'-%.&N!!

<.&C$*&!:'>!$Q=*$>>$1!-#'-!$//.*->!-.!*$1(C$!-#$!#'*,/(+!(>$!./!'+C.#.+!>#.(+1!-';$!-#$!+.C'+!C(+-(*'+!C.&-$Q-!

%&-.!'CC.(&-!'&1!-#'-!$'C#!C.(&-*A!>#.(+1!8$!/*$$!-.!C#..>$!-#$!=.+%CA!.=-%.&>!-#'-!%-!/$$+>!'*$!,.>-!

'==*.=*%'-$!'&1!-#'-!%-!%>!C'='8+$!./!%,=+$,$&-%&)N!"#$!%&-$&-%.&!:'>!$Q=*$>>$1!-.!>$-!(=!&'-%.&'+!

C..*1%&'-%.&!8.1%$>!%&!$'C#!C.(&-*A!>%&C$!%&>-%-(-%.&>!1$'+%&)!>=$C%/%C'++A!:%-#!'+C.#.+R*$+'-$1!#'*,!'*$!*'*$!%&!

-#$!*$)%.&N!"#$!%,=.*-'&C$!./!>#.:%&)!+%&;>!8$-:$$&!'+C.#.+!(>$!'&1!2?^!:'>!'+>.!>-*$>>$1N!!

WHO Region of the Americas

"#$!E,$*%C'>!=+'&!./!'C-%.&!.&!'+C.#.+!./!ZE23!%>!$Q=$C-$1!-.!8$!'==*.G$1!8A!-#$!*$)%.&'+!C.,,%--$$!-#%>!

A$'*N!0%-#%&!-#$!C.&-$Q-!./!-#$!=+'&P!C.(&-*%$>!%&!-#$!E,$*%C'>!B$)%.&!:%++!1$G$+.=!&'-%.&'+!'+C.#.+!=+'&>!-#'-!

'*$!%&!+%&$!:%-#!-#$!)+.8'+!>-*'-$)AN!E1G.C'CA!)*.(=>!'*$!$Q=$C-$1!-.!,.8%+%4$!/.*!C#'&)$>!%&!=.+%CAP!'&1!-#$*$!

:%++!8$!'&!$//.*-!-.!%&G.+G$!>$C-.*>!>(C#!'>!$1(C'-%.&P!>.C%'+!>$*G%C$>!'&1!-#$!=*%G'-$!>$C-.*!%&!$//.*->!-.!*$1(C$!

-#$!#'*,/(+!(>$!./!'+C.#.+N!K.C(>!:%++!8$!=(-!.&!=*%.*%-A!'*$'>!'&1!.&!%&-$*G$&-%.&>!-#'-!#'G$!8$$&!>#.:&!-.!

8$!$//$C-%G$!'&1!8$>-!=*'C-%C$>!:%++!8$!>#'*$1N!!

@-$=>!'*$!(&1$*!:'A!-.!'+$*-!1%//$*$&-!>$),$&->!./!-#$!

C.,,(&%-A!5$N)N!=.+%C$P!,'>>!,$1%'P!=*%G'-$!>$C-.*6P!'&1!&.-!

[(>-!-#$!#$'+-#!>$C-.*P!-.!-#$!)+.8'+!>-*'-$)AN!E11%-%.&'++AP!

.==.*-(&%-%$>!:%++!8$!>.()#-!-.!+$G$*')$!+%&;>!-.!.-#$*!'*$'>!

'&1!')$&1'>!>(C#!'>!&.&C.,,(&%C'8+$!1%>$'>$>!'&1!#(,'&!

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"#$!)*.(=!/.*,$1!-#$!*$)%.&'+!&$-:.*;!./!&'-%.&'+!C.(&-$*='*->!.&!'+C.#.+!'&1!=(8+%C!#$'+-#P!C#'%*$1!8A!

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WHO Eastern Mediterranean Region

"#$!023!W'>-$*&!O$1%-$**'&$'&!*$)%.&'+!C.&>(+-'-%.&!&.-$1!

C#'++$&)$>!>(C#!'>!-#$!>-%),'!./!'+C.#.+!=*.8+$,>!'&1!-#$!-'8..>!

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WHO European Region

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WHO South-East Asia Region

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17

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