EB17_69_eng.pdf - WHO | World Health Organization

UNITED NATIONS NATIONS UNIES

W O R L D H E A L T H O R G A N I Z A T I O N

ORGANISATION MONDIALE DE LA SANTÉ

EXECUTIVE BOARD ebit/69 ( / 19 January 1956

Seventeenth Session ORIGINAL: ENGLISH

fe4-. I . 、 ”

FIRST REPORT OP THE ЭТАШ1Ш COMMITTEE ON ADMINISTRATION AMD FINANCE

(Preliminary Report as required in terms of resolution EBl6#R12)

There is attached for the consideration of the Board, the preliminary

report of the Standing Committee on Administration and Ftnanee

(EB17/AP/5 Rev. 1).

NATIONS UNIES

W O R L D H E A L T H ORGANISATION MONDIALE O R G A N I Z A T I O N DE LA SANTÉ

EXECOTIVS BOARD ЕВ17/^/3 Rev. 1 page i

Seventeenth Session i 1

" . • • • * "*

FIRST EEPORT OF THE STANDING COI-METTEE ON ADMINISTRATION AND ГЕШСЕ

(Preliminary Report as required in terr¡is of resolution EB16.R12)

TABLE OF CONTENTS

Page

Chapter I. BACKGROUND IHFOHbâTICM

1. Programme . . . . . . . . . . . . . . . . . . . . . 1

1.1 General Programme of Work . . . . . . . . . . . . . . . . 1

1.2 Services of a G e m ral International Mature 2

1.3 Advisory Services to Governîœnfcs . . . 3

2. Organizational Structure . . . . . . 5

2.1 Headquarters 5

2.2 Regional Offices . . . 5

3. Sources of Financing .WHO and Joint International

Health Programmes . . 6

3.1 Regular Funds . 6

3.2 ‘ Technical Assistance' Funds ' . . . • 11

3.3 Other ixtra-Budgetary Funds 13

Chapter. II. ‘ PRINCIPAL FEATURES OF THE PROPOSED PROGRAMME — ‘ … — ” AND В1ШЕТ ESTBIA.TES FOR 1957

1. General Contents of the 1957 Programme and Budget Docvment . , 17

2. Proposed. Programme and Budget for 1957 17

2.1 Presentation of the proposed Programme and

Budget Estimates . . . . . . . . . . . . . . . . . . . 17

2.2 Effective Working Budget . 19

2.3 Programe Trends . 21

Zs4 Programme Levels « 24

EB17/AP/3 Rev. 1 page ii

Page

3. Proposed Programme and Expenditure for 1957 under the

Expanded Programme of Technical Assistance 25

Jointly-Assisted UNICEP/WHO Projects for 1957 26

5. Additional Projects requested by Governments and not included in the Proposed Programme and Budget Estimates 27

Chapter III. ANALYSIS OP COSTING PROCEDURES

1. Budgetary Process • • 28

2. Cost Factors used in the Estimates • . • • • 29

5, Costing of Individual Projects • • • • • • • • • • • • • • • • • 51

3.1 General , , • • • • • • • • • • • • • • • • • • • • • • … 31

3.2 Bilharziasis Control Project: Africa • • • • 3)

Nursing Education Project： Ecuador • • • • • • • • • • • • 3斗

Symposium on the Public Health Aspects of Chronic Diseases： Europe , • • • • 55

3-5 'Third'Asian Malaria Conference： Region Undesignated • • • • 37

Chapter IV, DETAILED EXAMINATION OP PROPOSED PROGRAMME AND BUDGET ESTIMATES POR 1957

Introduction 38

r

Organi'zational Meetings 59

1Д World Health Assembly 39

1.2 Exècutive Board and its Committees • • 斗0

1,5 Regional Committees • • 40

2. Central Technical Services • • 42

2.1 General • , • • 42

2.2 Epidemiological and Health Statistical Services 44

2.3 Therapeutic Substances • • • • 坏5

2.4 Editorial and Reference Services 斗7

EB17/AP/3 Rev. 1 page iii

Page

Advisory Services (Headquarters) 50

5.1 General • • 50

3.2 Communicable Diseases Services • • 5 1

Organization of Public Health Services • • 5 5

3.4 Environmental Sanitation • • 5 7

3.5 Education and Training Services 5 8

3.6 Reports and Analysis 60

5.7 Supply • • 60

4# Regional Offices and Field Activities • • • • 6l

4.8 Africa 64

4.9 The Americas 68

4.10 South_East Asia • • 73

4.11 Europe 7 5

4Д2 Eastern Mediterranean • • 79

4ДЗ Western Pacific • 84

4.14 Region Undesignated 87

5, Expert Committees and Conferences • 9。

6. Administrative Services • • • • • • • • • • • • • • 94

6.1 Offices of the Director-General 94

6.2 Department of Administration and Finance • • 9 5

Common Services • . • 9 6

8 . Cost Estimates for the Expanded Programme of Technical Assistance 9 7

Chapter V. THE BROAD FINANCIAL IMPLICATIONS OP THE BUDGET ESTIMATES AND THE IMPLICATIONS FOR GOVERNMENTS OP THE

DIRECTOR-GENERAL1

S PROPOSED BUDGET LEVEL for 1957

1. General . 9 8

2# Financial Participation by Governments in WHO-assisted Projects

in their Countries . • • • • • • • • • • • • • • • 99

3. Casual Income • • • 100

ЕВ1?/ЛР/3 Rev. 1 page iv

Page

4. Status of Collections of Annual Contributions . # Ю1

• • ‘ r

). Expanded Programme of Technical Assistance • • • Ю2 • ,

6. Additional Projects requested by Governments and not included •in the Proposed Programme and Budget Estimates • • • • • • • Ю2

7. Summary 102 . • • • » * *

Chapter VI. SPECIFIC BUDGETARY QUESTIONS

1. Apprçpriation Resolution- • • • • • • 105

2. Working Capital Fund Resolution 105

Publications Revolving Fund X06 .

Chapter VII. ‘ MATTERS DEFERRED FOR PRIOR consideration 、.

—

BY THE BOARD

1. Tuberculosis Research Office • • • • • • 108

2. Use of an additional language in a Regional Committee 108

CI0№ . 108

Chapter VIII. PROPOSED PROCEDURE FOR THE CONSIDERATION OP THE 1957 PROGRAMME AND BUDGET ESTIMATES AT THE NINTH

WORLD HEALTH ASSEMBLY 109

Chapter IX, SUMMARY RECOMMENDATIONS AND CONCLUSIONS

1. Whether the Budget Estimates are adequate to enable the World Health Organization to cariy out its constitutional functions in the light of the current stage of its development . . . , 111

2. Whether the Proposed Programme for 1957 follows the General Programme of Work approved by the Health Assembly Ill

— . •

3. Whether the Prograjnme envisaged can be carried out during thç budget year • • • • • • • • • • • • • • • • • • 112

The Broad Financial 工replications of the Budget Estimates> with a

general statement of the information on which any such considerations are based • • • 112

(see also Chapter V) 9 8

EB17/AP/3 Rev. 1 page ccxviii

3. Chart 3. Proposed Use of 1957 Budget, by Percentages (Without Supplement).

4. Chart 4. Proposed Use of 1957 Budget, by Percentages (With Supplement).

5. Chart 5. Approved Use of 1956 Budget, by Percentages,

LIST OP APPENDICES

Number of Posts and Estimated Net Expenditure Regional Offices and Field Activities under

Chart 2. Amounts authorized for use by WHO, estimated for 1957.

in 1955, 1956 and 1957 for all Funds by Regions.

I95O-I956, and Amounts

Chart 6 . Effective Working Budgets for 1955 and 1 9 5 6 compared with that proposed for I957 (by Appropriation Section).

.Chart 7. Percentages in R lation to the Total of Actual Expenditure for the Years 1950-195乜 and of Estimated Expenditure for the Years 1955-1957 by Major Organizational Units (Regular Budget)

#

•

Proposed Programme and Budget Estimates for 1957 Regular Budget•

Jointly Assisted UNICEP/WHO Projects for which Provision has been included in the Proposed Programme and Budget Estimates for 1957•

Compilation of Budget Estimates,

Summary Analysis of Expenditure in 1952, 1955 and 1954 on Certain Entitlements for which Averages are used in the Programme and Budget Estimates.

Plus and Minus Factors applied to the Estimated Costs of Major Organizational Units at Headquarters.

Plus and Minus Factors applied to the Estimated Costs of Regional Offices, Regional Advisers, etc.

Staff Turnover Figures applied to the Budget Estimates.

Deductions applied to Programme and Budget Estimates for Delays in Implementation of New Projects (with Pull-time Personnel).

Explanatory Notes on Detailed Costing of Bilharziasis Control Project in Africa as set out in the Accompanying Costing Form.

Explanatory Notes on Detailed Costing of Nursing Education Project in the Americas as set out in the Accompanying Costing Form.

ЕВ17/АР/3 Rev. 1 page vi

18. Explanatory Notes on Detailed Costing of Symposium on the Public Health Aspects of Chronic Diseases in Europe as set out in the Accompanying Costing Form.

19. Explanatory Notes on Detailed Costing of Third Asian Malaria Conference (Region Undesignated) as set out in the Accompanying Costing Form.

20. Chart 8. Number of Copies of the Bulletin and the Digest distributed in the the Years 1952-1955.

21. Chart 9. Number of Copies of the Pharmacopoeia Internationalism Vol. 1, Spanish Edition and of Vol.工工，English and French Editions distributed from Date of Publication to End of 1955.

22. Chart 10. Distribution of Numbers 21-26 (English and French) in the

Monograph Series•

2欠 Chart 11• Development of Sales of WHO Publications, 1950-1955-

24. Insecticides and Vector Control.

25• Estimated Costs of Projects Implemented in 1955.

26. Space Occupied by WHO in the Palais des Nations.

27. Breakdown by Organizational Units of Administrative Costs.

28. Estimated Government Contributions in Local Currencies.

INTRODUCTION

Pursuant to the decision of the Executive Board at its sixteenth session, the

Standing Committee on Administration and Finance held twelve meetings from

9-18 January 1956.

Dr P. J. Brady was elected Chairman of the Committee. The Committee also

decided that the Chairman and Dr Boidé should serve as Rapporteurs.

The following members attended the meetings of the Committee：

Dr P. J. Brady (alternate to Dr H. van Zile Hyde), Chairman

Mr He B. Calderwood (adviser to Dr Hyde)

Dr S# Anwar

EB17/AP/3 Rev. 1 page vii

Dr D. Boidé (alternate to Professor J. Parisot)^ Rapporteur

Dr L. Bernard (adviser to Professor J0 Parisot)

Mr J. Poessel (adviser to Professor J# Parisot)

Professor N. N. Pesonen

Mr T. Tikanvaara (alternate to Professor N. N. Pesonen)

Dr 0. Vargas-Méndez

Dr S, Al-Wahbi (Chairman of the Executive Board).

Dr J, N, Rodriguez (alternate to Dr Tumbokon) attended the meetings on 16 and

18 January 1 9 5 6 and Dr M. Jafar on 18 January 1 9 5 6 .

In accordance with its terms of reference as established by the Executive Board

in resolution EB16.R12,1

the Committees

(1) made a detailed examination and analysis of the Director-General1

s

Proposed Programme and Budget Estimates, including the formulation of questions

of major importance to be discussed in the Board, due account being taken of the 2

terms of resolution WHA5.62;

(2) studied the implications for governments of the Director-General1

s

proposed budget level；

⑶ examined the Appropriation Resolution and the Working Capital Fund

Resolution；

(4) considered the status of contributions and of advances to the Working

Capital Fund, and

(5) examined the procedure for the consideration of the annual programme and

budget estimates by the World Health Assembly.

In view of the requirement in sub-paragraph (1) of resolution EB16.R12 that the

Committee take due account of the terms of resolution WHA5-62, the Committee also

specifically considered: •

1

Handbook of Resolutions and Decisions, Jrd e d " l6l

2 Handbook of Resolutions and Decisions, 3rd e d” 117

EB17/AF/3 Rev, 1 page vlii

(1) whether the budget estimates were adequate to enable the World Health

Organization to carry out its constitutional functions, in the light of the

current stage of its development；

(2) whether the annual programme followed the general programme of work

approved by the Health Assembly；

⑶ whether the programme envisaged could be carried on during the budget

years and

(4) the broad financial implications of the budget estimates, with a general

statement of the information on which any such considerations were based.

The Committee, in accordance with the decision of the Executive Board, presents

its preliminary report.

EB17/AF/3 Rev.l page ,1

Chapter I. BACKGROUND INFORMATION

1. PROGRAMME

1.1 GENERAL PROGRMi.E OF WORK

1ДД Under Article 28(g) of the Constitution of the World Health Organization,

the Executive 3oard imst submit to the Health Assembly a programme of work covering

a specific period. The Executive Board at its fifteenth session, in resolution

EB15.R24, approved the second general programme of work, covering the specific period

1957-1960.1 The Eighth World Health Assembly, having reviewed the general programme

of work covering a specific period, as prepared by the Board, considered, in

resolution ТЩА8Д0, "that this programme of work, as amended, provides a broad

general policy for the development of detailed annual programmes in the period 2

1957-1960"• This general programme sets out the scope of WHO1

s activities for the

period concerned^ within the principles and functions established in the Constitution,

and is used as the guide to determine the suitability of particular proposals for

WHO action within the programme year,

1,1#2 The second general prograinme of work directs attention to strengthening 參f

national health services, providing services of general international interest, and

using possibilities of new knowledge and its application to health»

1,1,3 The main lines of approach and methods are outlined in the second general

programme of work for a specific period as (1) national long-term health planjingj

(2) co-ordination and stiraulation of any appropriate activities having a direct

bearing on h e a l t h ;⑶ evaluation of health work; ⑷ research； and (5) professional

and technical education of national health personnel.

1,1•厶 The sorvicos provided under the general programme of work may be classified

as (1) comprehensive international services on behalf of all governments of the

world, and (2) advisory services to individual governments and groups of governments•

1

Off* Recf Wld Hlth Org, 60, Annex 6

2

Off. Rec. IJld Hlth Org. 63# Annex 4


1.2 SERVICES OF A GENERAL INTERNATIONAL INTEREST

The World Health Organization provides certain health and medical services of a

world character which can be furnished only by an international agency,

1.2Д It collects and analyses world epidemiological information, statistics arid

other data，and co-ordinates research on medical and health matters • In this

connexion, inter alia, it:

(a) prepares international epidemiological studies and reports;

(b) prepares reviews and surveys of medical and health problems and otherwise

encourages associated research；

(c) develops international lists and çlas s ific ations of diseases and causes

of death;

(d) develops international standard methods in epidemiology, and health

and medical statistics;

(e) promotes the collection and exchange of information^ generally in tho

fields of epidemiology and health and medical statistics；

•• (£) co-operates with other international and national organizations and

institutions concerned in these fields•

1.2,2 It deals with health and medical problems arising from the international

iriovemont of persons and goods, in order to prevent the spread of disease with

miniimm interference to the flow of traffic t In this connexion iti

t

(a) develops international sanitary arrangements and regulations which

govern international quarantine procedures;

(b) provides, by radio and weekly publications, information concerning

quarantinable diseases and arrangements to governments and others directly

concerned;

(c) exchanges information on problems of сотгапоп interest with other inter-

national organizations concerned in international movementt


1,2,3 : It provides services to countries and to other international organizations

for the definition of, and research into, the pxirity, potency ancj other properties,

of drugs, antibiotics, vaccines, sera and other substances of medical and health

interest^ In this connexion it：

(a) develops intornational biological standards)

(b) dovolops recommended international nomenclaturesj

(c) prepares international standard monographs recommendod for inclusion in

international pharmacopoeias; .、 M

(d) advises the responsible international authorities on drugs which are

liable to produce addiction；

(e) generally co-operates with and advises international and national

organizations on problems in these fields t

1,2.厶 It provides services to countries and international organizations on

laboratory procedures and techniques used in medicine and health.

Ii2.5 It collects, exchanges, and distributes technical information necessary for

the efficient operation and improvement of national health servicesд ^¡à for the

assistance of research and educational institutions. In this connexion it?

. ( a ) publishes and distributes a series of international health, medical,

epidemiological and statistical publications; and

(b) co-operates with other international and national organizations in

providing medical and health information and reference services through

library, bibliographical and other procedures and arrangements.

1.3 ADVISOHI SERVICES TO GOVERNMENTS

1.3.1 A primar^ objective of the World Health Organization is to strengthen

national health services with special emphasis on promotion of public health

programmes which include prevention and çontrol of the major communicable diseases

as well as professional and technical education of national health personnel^ With


this objective in view it gives certain types of assistance to governments anâ

groups of goverrmients• The terms upon which such assistance is given are thati

(a) .the government must request the service;

(b) the govermneiit maintains administrative control over the pro iect,

WHO*s assistance being supplementary；

(c) the government shares the cost and provides counterpart and other

personnel;

(d) the government makes definite provision for the continuation of the

project on the termination of WHO assistance•

1#3%2 The methods that are employed in rendering this service are various; they

include consultants, demonstrations, training courses, seminars, fellowships^

visiting groups of scientists, special-purpose grants to training institutions. and

research centres for stimulation of productive research, and, on a small scale,

provision of specialized equipment for laboratories and occasionally provision of

speciali2ied technical literature. . , ‘

1.3.3 The arose of emphasis have included services for the control of tuberculosis

and venereal diseases and 七 r e p o n e m a t o s e s , and for the develpçmQnt. of improved

environmental sanitation, maternal and child healthy mental health and nutrition.^

Health education of the public has- also taken a prominent place in the programes, . . . . . . • ‘

Increased emphasis has been placed recently on the eradication of malaria rather

than control and on the development of the more general aspects of public health

administration and public health personnel rather than the more specific approach.

1.3.4 With this aspect of the programme，: VHO gives leadership in the mobilization

of all international resources through international or national non-governmental

organizations and multilateral or bilateral intergovernmental agencies as.well as

other agencies within the United Nations, and through private foundations•

Chart 1

S T R U C T U R E OF THE HEADQUARTERS S E C R E T A R I A T

OFFICE OF THE

DIVISION OF COMMUNICABLE

DISEASE SERVICES

• MALARIA

TUBERCULOSIS

ORGANIZATION OF PUBLIC HEALTH

SERVICES

• MENTAL HEALTH

• NURSING

SOCIAL A OCCUPATIONAl

DIVISION OF EDUCATION AND

TRAINING SERVICES

FELLOWSHIPS

EXCHANCE Of SCIENTIFIC

INFORMATIO)

ASSISTANCE TO EDUCATIONAL INSTITUTIONS

DIVISION OF ENVIRONMENTAL

SANITATION

DIVISIO RI TECHÍ

ISION OF EXTERNAL LIAISON OFFICE RELATIONS AND шЦ WITH :HNICAL ASSISTANCE I UNITED NATIONS I

• PERSONNEL

INTERNAL AUDIT

ÎÎ'&ËPÂÏitiiiËiïfÔWiÈËKiïïiÀiJÎ: ••^TECHNICAL SERVICES ‘

DIVISION OF EPIDEMIOLOGICAL AND HEALTH STATISTICAL

SERVICES

DIVISION OF THERAPEUTIC SUBSTANCES

1 1 EPIDEMIOLOGICAL

STUDIES BIOLOGICAL

STANDARDIZATION

STATISTICAL STUDIES PHARMACEUTICAL

INTERNATIONAL CLASSIFICATION OF

DISEASES AND CAUSES OF DEATH

ADDICTION-PRODUCING DRUGS

INTERNATIONAL QUARANTINE

HEALTH LABORATORY METHODS

SINGAPORE I EPIDEMIOLOGICAL

INTELLIGENCE STATION 1

TUBERCULOSIS RESEARCH OFFICE

COPENHAGEN

DIVISION OF EDITORIAL AND rERENCE SERVICES

HEALTH LEGISLATION •

OCUMEN1 FICIAL R

TRANSLATION 國

* T h i s d i v i s i o n , w h i c h i s not subdiv ided into s e c t i o n s , d e a l s with munic ipal and regional s a n i t a t i o n , rural and community san i tat ion, housing and town p l a n n i n g , vector control and i n s e c t i c i d e s , milk and food sanitat ion, environmental a s p e c t s of occupat ional health, and transportation san i tat ion.

EB17/AF/3 Rev.l pago 5

2. ORGANIZATIONAL STRUCTURE

2,1 HEADQUARTERS

2.1.1 The functions and responsibilities of tho various Headquarters units appear

in the narrative information concerning the various Headquarters organizational units

in Official Records No. 66. The present structure of Headquarters is shown in

Chart I. The level of staffing at Headquarters, for the period 1950.-1957, is

indicated in the following table :

TABLE 1

Authorized posts at Headquarters 1950-1956 and those proposed for 1957

(Regular funds)

1950 1951 1952 1953 1954 1955 •1956 1957

386 372 375 368 391 402 407 4 U

2.2 RT

-GI0ML 0:.'?ICES

2.2,1 The provisions related to regional arrangements are contained in Chapter

of the Constitution. The Executive Board, at its eleventh session, made an

organisational study on regionalization"^" which sets forth many details concerning

regional operations. There are six regional offices, as follows:

Regional Office for Africa (Brazzaville)

Regional Qffice for the Americas, Pan American Sanitary Bureau (Washington, B.C.) .

Regional Office for South-East Asia (New Delhi)

Regional Office for Europe (from 1957, Copenhagen; temporarily Geneva)

Regional Office for the Eastern Mediterranean (Alexanck-ia)

Regional Office for the Western Pacific (Manila)

1

Off. Roc. Wld Hlth Org, 46, 137-1B4,


Appendix 1 (SB17/AF/WP/13) shows the numbers of staff in the regional offices.

2f202 In tho setting up of the original structure of regional offices, and in

their subsequent development, it has always been understood, and agreed that no

common pattern is applicable. A composite statement of the functions and •

responsibilities of regional offices appears in Official Records No, 66, page 84»

Some regional offices took over, or are associated with, pre-existing regional

health organizations. The obvious factors of physical and hiaman geography must

also be considered in determining the number of regional staff.members employed

and the nature of their work. This is particularly true of the employment of

local staff厂 which is to a large extent a reflection - and implies a necessary

acceptance « of local cultural practices•

3書 SOURCES OF FINANCING WHO AND JOINT INTERNATIONAL HEALTH PROGRAMMES

3.1 REGULAR FUNDS

3-1,1 Assessments of Member States

J.1.1.1 Article 56 of the Constitution provides that the expenses of the

World Health Organization shall be apportioned "among the Members in accordance

with a scale to be fixed by the Health Assembly11

. The contributions of Member

States so assessed for the purpose of financing the activities of the Organization

each year under the regular budget have constituted the main source of income of

WHO since its inception in 1948 • The assessments of Member States are determined

in ac:cordancô vrith certain principios established over the years by the World

Health Assembly# The latest decision concerning the scales of assessment of

Meiriber States was taken by the Eighth World Health Assembly, in resolution

WHA8.5.1

The principles established by the Health Assembly are that the scale

of assessments of the World Health Organization is based on that of the United

Nations, talcing account of (1) the difference in membership; and (2) the

Handbook of Resolutions axid Decisions, 3rd e d” 197-198

E317/AF/3 Revfl

•page 7

establishment of minima and maxima, including the provision that no country shall

be required to pay more per capita than the per capita contribution of the

highest contributor, The Eighth World Health Assembly further decided that Ш0

should progress toward the full application of these principles in four annual

stages starting in 1956,

3ДД.2 Apart from contributions due from Members in respect of each financial

year, assessments of new Members in reepect of previous years also become availableд

under the relevant Appropriation Resolutions^, for the purpose of financing the

activities of the Orgajiization for each year., The collection of contributions

from Member States has steadily improved since the inception of the Organization,

as can be seen from the following‘tables?

TABLE 2

Comparason of annual collections

ôf contributions^1950^1955^

(by percentages)

Year In respect of

gross assessror^sj.

In respect of assessments of active Members

1950 58,39 69.96 1951 74,96 88.34 1952 79.40 93.99 1953 80.50 94» 63 1954 1955

81Д0 , 78.18-

1; 94,64/-, n

'、As at 31 December of the year in question ⑴ 4 7

The largest contributor could not， because of legislative processes pay its full 1955 contribution during the year. If this payment had been received the figures would have been 81,66 per cent* and 95«9'7 per cent, respectively.

EB17/AP/5 Hev.l page 8

TABLE 3

Current arrears of Lotive Members

(expressed as percentages of Active Membersf

total assessments)

In respect of budget for

As at 31 December

1953

As at 31 December

1954

As at 31 December

1955 i

О

Г"1 O

i 寸

ил

m

ил

ил m

О4 0

s о о

о о

H

H

гЧ

H

H

гН

0.64 3o53 4,19 5。37

0:20 0,64 0,95 2.57 5,36

р»：

_ pe rm

0.13 0.85 ⑴ 8.12 …

* Not including China

⑴The largest contributor could not， because of legislative, processes pay its full 1955 contribution during the year. If this payment had been received the figure would have been 4.03 per cent,

3.1.2 Casual income

С asnal income which Biay be authorized for use in financing the appropriations

by the Health Assembly includes :

(a) assets transferred from the Office International d'Hygiène Publique

(b) the cash portion of the Assembly Suspense Account;

(c) the amount of unbudgeted assessments of new Members；

(d) any amounts transferred from the Pii)licatioris Revolving Fund;

(e) »

any excess amounts in the Special Fund for World Health Seals, and

� miscellaneous income.

Such income is used to finance annual appropriations, thus reducing the assessments

on Member States, Details are given belcT",

ЕВ17/ДР/5 Rev.l page 9

(a) Assets of the Office International d!

Hygiène Publiqne

The provisions of the Protocol concerning the dissolntion of the Office

International d'Hygiène Publique, signed on 22 July 1 9 4 t e r m i n a t e d the Rome

Agreement of 1907 which established the Office^ and the assets of the Office

were transferred to the World Health Organization. In the resolution effecting 1

the transfer the Health Assembly provided that these assets should be devoted

to epidemiological work. There is at present only $616 available in this fund

for use in 1957. While some additional funds may be received， it is not

anticipated that the assets of the Office will provide an appreciable source of

income to finance annual appropriations in the future-

(b) Assembly Suspense Account

In 1950， an Assembly Suspense Account was established, to be credited

with the unused budget appropriations for 1950 and 1951, "reserving for th.e

decision of the World Health Assembly the ultimate use of the sums plaoed in 2

this account". The budgetary surpluses for 1948， 1952 and subsequent years were

later paid to the credit of this account. As these surpluses include contri-

butions assessed against inactive Members, the Assembly Suspense Account consists

of a non-cash portion representing unpaid contributions due from Members, as

well as a cash portion from the unused balances of contributions• After

covering any cash deficit for the year concerned, the Assembly Suspense Account

has been used from time to time, by transfer in accordance with the relevant

Appropriation Resolution, for the purpose of financing part of the regular

budget, including supplementary estimates,

(c) Assessments of New Members

The assessments of Members joining the Organization after the adoption

by the Health Assembly of the budget for the year in which they join are

considered to represent additional income for use by the Organization in a

subsequent year. Such assessments, not having been included in the assessments • - j-- •‘‘

against the Members^ have not been budgeted and therefore these amounts have

Resolution ШАЗ, 98，Handbook of Resolutions and Decisions 5 3rd e d” 190

2 . Resolution WHA3.105^ II， Handbook of Resolutions and Decisions

5 3rd e d” 212

to be taken into account by the Health Assembly when it approves the next

budget for the Organization^ and they are included under the heading of

"Casual Income".

(d) Publications Revolving Fund

In 1948， the Director-General was authorized to establish a special

Revolving Fund for Publications 一 consisting of (i) balances remaining in the

similar fund maintained by ttit? Interim Commission^ and (ii) proceeds of

subscriptions and sales of WHO publications - to be used exclusively for the

purpose of financing the cost of printing additional copies of WHO publications

for sale.l The Health Assembly stipulated also that this fund was to be

subject to periodic review to determine whether any such sums ao^ymilated

should be withdrawn and added to miscellaneous income for the current year.

The Director-General was authorized in 1953，1954 and 1955 to draw on the

Publications Revolving Fund, within limits, to be used to give publicity to,

WHO publications and to defray the costs of the distribution and sales unit.

The Eighth World Health Asseiribly^ on the recommendation of the Executive

Board, also decided to use an amount of $40 000 available in the fund as

miscellaneous income to be applied in financing the 1956 budget.

(e) Special Fund for World Health Seals

In 1951，the.World Health Organisation established a fund to be used for

printing special seals for sale to the general public on a purely voluntary basis '2

by any Member State wishing to do so. The Eighth World Health Assembly

decided^ to discontinue supplying seals for sale by Member States after 1955

and to liquidate the special fund by transferring any sums remaining in the

fund to the Assembly Suspense Account,. (f) Miscellaneous Income

Other sources of income include interest on investments, surrendered

obligations of prior years, rebates and refunds, sales of equipment and supplies^

and charges levied in connexion with the procurement by the Organization of

Off。Re。Wld Hlth 〇£g。込 316 2 春

Resolution WHA4?48， Handbook of Résolutions and Decisions， 3rd e d” 217

3 Resolution Handbook of Resolutions and Decisions3 3rd e d” 218


supplies for governments. Gifts and bequests acceptable under certain conditions

are also included in this category.

5Л.З Working Capital Fund

J.l.3-1 The First World Health Assembly established a Working Capital Fund in order

to provide a reserve to finance the activities of the Organization pending the receipt

of contributions from Member States. It was also designed to provide funds to meet

unforeseen or extraordinary expenses for which provision was not made in the annual

budget approved by the Health Assembly. This fund is replenished in the first case by

the contributions when received in respect of the year to which they relate, and in the

second case by making provision in the estimates to be submitted to the convening Health

Assembly, unless the expenditure is recoverable from other sources. The fund is

financed by advances from Members in amounts assessed by the Health Assembly. These ad-

vances do not constitute contributions to the Organization but continue to stand to the

credit of the individual Member States. The Working Capital Fund established by the

Eighth World Health Assembly for the year 1956 totalled $3 386 126 at 51 December 1955.

Of this amount, $180 696 represented the advance due from China, and $258 701 represented

amounts due from inactive Members, so that the amount effectively available in the

Working Capital Fund was $2 9杯5 972， not including $757 due in respect of a new

Associate Member admitted by the Eighth World Health Assembly.

5^1.4 Executive Board Special Fund

5ДЛ.1 The Seventh World Health Assembly established, in accordance with Article 58

of the Constitution, the "Executive Board Special Fundn

in the amount of $100 000, and

authorized the Board to use the Fund to meet emergencies and unforeseen contingencies.^

3.2 TECHNICAL ASSISTANCE FUNDS

5,2.1 Ш addition to activities under its regular progranmie, WHO is also responsible

for the health aspects of general economic development programmes undertaken under

the United Nations Expanded Programme of Technical Assistance for the Economic

Development of Under-developed Countries. Since 1951, the World Health Organization

"'"Resolution WHA7.24, Handbook of Resolutions and Decisionss 3rd ed” 214

EBIT/AF/З Rey.l page 12

has participated, along with other specialized agencies and the United Nations itself,

in this programme. Funds therefor are derived from voluntary pledges which governments

make to the Special Account for the United Nations Technical Assistance Programme.

5.2.2 The Organization has received or expects to receive the following amounts under

the programme:

US $

1951 1 337 080 (actual obligations)

1952 b 351 689 (actual obligations)

1953 k 189 357 (actual obligations)

1 妙 3 75^ 5^5 (actual obligations)

1955 h 792 963 (estimated obligations)

1956 5 750 661 (programme approved by TAB

5.2.5 The annual programmes carried on under Technical Assistance are approved by 1 2

the Technical Assistance Board and the Technical Assistance Committee, the latter

body also authorizing the allocation of funds to implement the programme, based on

requests from governments• Details of the policy and the procedures for the new

country programming and allocation procedure were reported to the Board at its fifteenth 3 k

session and to the Eighth World Health Assembly. Under those procedures government s

negotiate the technical aspects of their proposed programmes vith the appropriate

participating organization (in the case of WHO with the appropriate regional office)

and prepare their total requests for Technical Assistance in the light of their needs

and their national development plans. The final determination as to the projects to be

included in the country programme and as to their relative priority within the total

programme is made by the government concerned, The amounts available from this source

to finance health projects are therefore dependent (i) on the amount of funds

The Technical Assistance Board (TAB) consists of the Executive heads (or their representatives) of the United Nations and of the specialized agencies that participate in the Expanded Programme of Technical Assistance.

2 The Technical Assistance Committee (TAC) is a standing committee of the whole of

the Economic and Social Council which makes examinations of activities undertaken in the programme, examines and approves each year

1

s programme, authorizes the allocation of funds, interprets the basic resolution (ECOSOC 222 (IX)) establishing the programme, and performs other functions relating to the programme on behalf of the Economic and Social Council. •

X J Oft. Rec. Wld Hlth Org, Go, Annex % pp. 80-82 к —

0ff4 Rec, Wld Hlth Org. Annex 9 , PP.


voluntarily contributed to the special account by governments, and (ii) the priority

which governments give to health work oithin their integrated country programmes•

5#5 other extra budgetary funds

The column in the proposed programme and budget estimates headed "Other Extra-

budgetary Funds" contains cost estimates relating to such requirements as are expected

to be met from other than regular or Technical Assistance funds.

W l United Nations Children's Fund

5 , 5山 1 The activities of UNICEF are financed from voluntary pledges, primarily of

governments, and are regulated by the Executive Board of UNICEF, which is composed of

representatives of the States forming the Social Conunission of the United Nations

Economic and Social Council, plus representatives of eight other States not necessarily

Members of the United Nations.

З Л 2 UNICEF*s primary responsibility in jointly-assisted UNICEP/WHO projects is

to provide supplies and equipment• The principles governing co-operation between 1

WHO and UNICEF were approved by the Second World Health Assembly. Under those

principles the Director-General of WHO studies and approves plans of operations for

all health programmes which fall within the policies laid down by the Joint Committee

on Health Policy and for which countries may request supplies and equipment from •

UNICEF. All international health personnel agreed with governments as necessary for

the implementation of any jointly-assisted UNICEP/WHO health projects will be made

available by WHO. The amounts which WHO is able to provide towards the costs of

such expert health personnel on joint projects depend upon WHO1

s budget resources and

upon the requirement of maintaining a balance in the Organization's programme between

maternal and child health activities and other public health activities. UNICEF has

undertaken to reimburse WHO for such portion of the cost of providing technical

personnel as exceeds the limitations of WHO1

s financial resources•

5 . 3丄 5 The Eighth World Health Assembly, in resolution WHA8.12j requested 11

the

Director-General to include in his annually proposed programme and budget estimates*

beginning in 1957, full provision for international health personnel costs of jointly-

assisted UNICEF/WHO projects, due regard being given to the principle that WHO must

1

Resolution WHA2.24, Handbook of Resolutions and Decisions， 3rd e d” 257

EB17/AP/3 Revel

page 14

maintain a balanced public health programme11

• Consequentlyj the proposed programme

and budget estimates for 1957 reflect the full implementation of this resolution- as

well as of the principle enunciated by various Health Assemblies that w

WHO should

assume, subject to the limitation of its financial resources, the responsibility

for the employment of the technical personnel needed for Joirrt activities to be

initiated in the future*1

.

5,3*2 Pan American Sanitary Organization

5.5.2Л The estimates shown for the Region of the Americas include detailed

information on the public health activities administered by the Pan American Sanitary

Bureau and financed by the Member States of the Pan American Sanitary Organization or

from other sources, and the PASB estimates for 1957 represent the tentative proposals

of the Director, which will be considered in 1956.

Miscellaneous

5 Л 1 In a few cases, the Colombo Plan or other sources of assistance to

governments under bilateral agreements provide some parts of projects also assisted

by WHO, This assistance Is also reflected in the column w

Other Extra-budgetary

Funds11

.

•

3.4 FINANCIAL RESOURCES, 1950-1957

J.4.1 The level of resources authorized for use by the Organization for the years

1950-1957 under the regular budget, Technical Assistance funds, and funds made

available by UNICEF for the reimbursement of costs of international health personnel

in certain jointly-assisted UNICEF/WHO health projects is shpwn in Chart 2

(Appendix 2, EB17/AP/VÍP/5, revised to eliminate 1948 and 19^9). Рог purposes of

comparison, the chart also shows the resources vrtiich might be expected to be made

available to the Organization in 1957, including separate columns for the two

alternative 1957 budget proposals. The chart is based on the figures in Table 4.

TABLE Д

AMOUNTS AUTHORIZED FOR USE BÏ 顺 О , 194B-1956, AND А?ЮТШТ8 ESTIMATED FOR 1957

Source of funds 1950 1951 1952 1953 1954 1955 1956 1957

tegular Budget 6 300 000 6 527 401 7 782 332 8 厶 8 5 095 8 497 700 9 500 000 10 203 08Л (11 iUvl 600J (12 966 600

rechnical Assistance Fimds 2 894 855 5 776 190 U 600 525 4 074 171 4- 910 Ш 5 750 66Г 5 261 029

4-

Pechnical perscimel for joirrbly-. assisted UNICEF/ШО prcjects (included under "Other Extra-Budgetaiy funds") for i/rtiich UNICEF has allocated fmds 2Л6 513 818 009 363 135 5Л5 703 550 500 520 830 94 132

«

TOTAL 6 546 513

t

10 2Л0 265¡ 13 921 657

1

13 631 323 13 122 371 U 930 971 16 04.7 877! Í6 70i 629p 18 227 629

1 Without supplement

2 With supplement

3 Categoiy I pre jects including administrative and operational services costs approved by TAC in Noveisiber

and including §61 381 approved in December 1955 for financing Ггэш the Programme Contingency Fund.

“ Global planning target figures under Category 工 including operational services and administrative costs аз established by TAB in November 1955• No planning target figures have been established for Special Projects，financed from contributions -rtiich have been difficult to use.

EB17/AF/3 协二 page ló

3,4.2 The resources under the regular budget represent the expenditure ceilings

established for the years 1950 and 1951, and the effective working budgets for the

years 1952-1956 as approved by the World Health Assemblies, including supplemental

appropriations voted for 1951 and 1952e For 1957 the first amount ($11 441 600)

shoTra represents one alternative effective working budget in the Director-General^ s

programme and budget estimates5 which he proposed in case the present number of

Members actively participating in the Organization remains unchangedj the other

alternative ($12 966 600) represents the Director-General^ s proposals in the event

of active participation in VJH0T

s work by all Members.

3。4,3 ‘ The resources shown in respect of the Technical Assistance Programme represent

for the years 1951-1955 the amounts earmarked to WHO by the Technical Assistance Board

for those years с The programe approved by TAB and TAC for implementation in 1956

xdJLl cost 银5 750 ó6le For 1957， the planning target figure for health activities is

$5 261 029。 The amount actually available under Technical Assistance in 1957 will

depend on (1) government requests for health work in their integrated country

programmes j and (2) the total resources available for the programme. The miniimim

amount to be expected^ presuming there is no dscrea-se in the total resources below

those available in 1956^ will, under the legislation, be not less than 银4 878 000，

which will be sufficient to cover commitîaeiits of the Organization for projects

corvti/nuing in 1957，

3,4,4 The amounts of UNICEF reimbursements to WHO for costs of technical personnel

provided by WHO are shown for 1950-1956,


Chapter l b PRINCIPAL FEATURES OF THE PROPOSED PROGRAMME： AND BUDGET ESTIMATES FOB 1957

1, GENERAL CONTENTS OF THE 1957 PROGRAMME AMD BUDGET DOCUMENT

1,1 This chapter presents in general terms the principal features of the programme

and budget proposed by the Director-General for 1957» Subsequent chapters present

the detailed analysis made by the Standing Committee； and deal with the formulation

of questions of major importance to be discussed in the Boards

1#2 Official Records 66, "Proposed Programme and Budget Estimates for the

Financial Year 1 January • 31 December 1957" includes the Directr-Gëneral1

e

alternative proposals for tbe regular budget of the World Health Organization for

that year. These are presented by the Director-General for appropriate action by

the Health Assembly. The document also includes^ in accordance with established

procedure, a programme which may be carried out under the United Nations Expanded

Programme of Technical Assistance and the projects contemplated to be Jointly-

assisted by UNICEF and WHO<, Tbe activities financed by the Pan American Sanitary-

Organization are included in "Other Extra-budgetary Funds11

• Finally， the document

includes, as Annex 5, on green pages， descriptions and cost estimates of additional

projects requested by govermients and not included in the proposed programme and

budget estimates.

2. PROPOSED PEOGEAMME AMD BUDGET FOE 1957

2.1 PRESENTATIC»i OF THS PROPOSED PROGRAMME AND BUDGET ESTIMATES

The form of presentation of the Proposed Programe and Budget Estimates

follows the pattern which has been developed over the years， as experience has

demonstrated the need for certain types of informatioru The Director-General had^

hovever^ made the narratives in the docuiment self-contained, including a description

of the main functions and responsibilities of the various organizational units of-

the Organization, rather than providing only a reference to earlier documents.

Furthermore^ projects included in the programme are completely^ if briefly；

described^ so that it is unnecessary to refer to any earlier document to ascertain

the exact nature of any project included in the programme•

EB17/AF/3 RevJ. page 18

2.1。2 The most significant modification

clearly two alternative proposals for the

is recommending to the Assembly^ At the

in presentation has been made to identify

regular budget vhich the Director-General

of the final preparation of the budget document, the resumption of full participation in the work of WHO by certain Members

coul^ not as yet be considere'" as an accomplished fact. The Director-General

therefore presenter] two alternative effective working budgets: the one assuming

the number of Members actively participating remains unchanged} the other based on

active participation of all Members.

2 . 3 For budgetary presentation purposes； anc1

. in order to facilitate the

examination of his Propose'3

？rograimne an-3

： Budget Estimates^ the differences between

the two alternative Effective Working Budgets are identified in Official Becords 66

as "supplement". As will be seen from the summary of budget estimates shown on

pages ^ to 9 of Official Becords 乡6, the estimated expenditure shown for 195, has

three columns. The first has the sub-hea.,ing "without supplement"} the total of

which column reflects one of the alternative Effective Working Bur. get s (amounting

to $11 kbl 600), The secon1

column is called "supplement", anfl the third column

"total with supplement", The third column reflects the other alternative Working

Budget (amounting to $12 966 600). Throughout the information annexes presenting

the details of the programme^ the supplement is separately shown in the various

summary tables, which in some of those tables has necessitated the inclusion of

additional columns. The details of all of the activities included in th© supplement

appear in a separate annex. Annex 3-»

2.1. b A summary of the programme approve:, by the Technical Assistance Committee

for 1956 appears in Annex b of Official Records 66. Estimates are also shown for

1957, although these are provisional, being subject to the final requests to be made

by. governments in accordance with the country programming arrangements established

for the Technical Assistance Programme,

2.1.5 Information concerning a'clitional projects requested by governments and not

inclu.Wl in the Propose1

Programme an，Bu«"get Estimates appeared in Annex 5» This

information was submitted by the Director-General as a result of the discussions which

took place at the Eighth W o r W Health Assembly concerning the usefulness of such

information for Member States.


2.2 EFFECTIVE WORKING BUDGET • . » ‘

As explained in paragraph 5»1-2 of this report, the Committee had for

consideration two alternative Effective Working Budgets, one amounting to

$12 966 6 0 0 ап-л

base卩 on active participation of all Members, the other amounting

to $11 6 0 0 in case the present number of Members actively participating in the

work of the Organization remains unchanged. These two alternatives are '©alt with

separately below..

2.2.1 Alternative amounting to fil kkl 600

2.2.1.1 The Committee note*' that the alternative working budget of |11 бОО includes

au iacroase of ¿1 238 516 (or approximately 12 por cent.) over tho Effective Working

Budget approved for 195& Of this increase, approximately $123 000 is required for

normal statutory increases^ anci approximately $90 000 is proposed to meet the increased

costs of the continued activities relating to malaria eradication and the peaceful

uses of atomic energy. The remaining increase of $1 025 000 is proposed to finance

nev activities, some |820 000 being for field projectб• The total number of

established posts under this proposal would increase by 57, from 1030 in 1956 to

1067 in 1957. Details of these increases appear in Chapter IV "Detailed

Examination of the Proposed Programme and Budget Estimates for 1957"•

2.2.1.2 Chart 3 (EBIT/AF/WP/2) - see Appendix 3 - shovs the proposed use of

this alternative Effective Working Budget for 1957 by appropriation sections.

2.2.2 Alternative amountlug to $12 966 600

2.2.2.1 The CoramitteQ noted that the difference between the alternative Effective

Working Budgets is |1 525 000, based on the activities, the details of which appear

in Annex 3 of Official Becords 66. The total number of additional established posts,

under this alternative； is 55 - all of them for Advisory Services in the field. Tho

Committee noted that the difference was composed of $5520 for Organizational

Meetings, |21 700 for Central Technical Services, |1 ^67 780 for Advisory Services,

and $30 000 for the Regional Office for Europe.

EB17/AF/3 RevЛ page 20

2,2.2.2 Chart 4 (EB17/AP/WP/1〉 - see Appendix 4 • shows the proposed use of this

alternative Effective Working Budget for 1957 by appropriation sections.

2.2.^ Chart 5 (EB17/AP/WP/3) - see Appendix 5 ， shows for purposes of comparison

the use of the 1956 budget by appropriation sections, and chart 6 (EB17/AF/WP/4)-

see Appendix 6 - the Effective Working Budgets for 1955 and 1956 compared with the

two alternative proposals for 1957 by major organizational units.

2.2Л Chart 7 (EB17/AP/WP/21) • see Appendix 7 - shows for major organizational

units actual expenditure for the years 1950-195^ and estimated expenditure for the

years 1955-1957 by percentages in relation to effective budget levels•

EB17/AP/3 Rev.l page 21

2.3 PROGRAMME TRENDS

2.5Д The programme for 1957 is the first presented within the frameworic of the Second

General Programme of Work Covering a Specific Period, adopted by the Eighth World

Health Assembly.1

In the Introduction to his proposed programme for 1957* the

Director-General explained how that programme fits into the long-term programme； the

Committee was satisfied that not only have the broâd guiding lines of the Second

General Programme been followed, but that they have also been applied to the special

conditions in each region and country.

20番2 The Committee is pleased also to report to the Board that the various parts of

the Organization continue to be well-geared to its basic long-tem function: assistance

in the strengthening of national health services» The trend toward the more com-

prehensive approach to health needs of countries continues to be reflected in the

extent to which public health projects are replacing single-purpose types of field

projects. The public health projects contribute to the development of the integrated

health services; they are more and more planned as component parts of long-term

national plans for thç development of health services.

2.3*3 As regards the specific aspects of the work planned for 1957, the Committee is

happy to report to the Board a reversal of the trend away from regional and inter-

country programmes which the Board noted in its review of the programme proposals for

1956. Because of the concern expressed by the Board on this subject, the Committee

has made an analysis of the increases in the amounts planned to be spent for inter-

country programmes in 1957 as compared with 1956 and submits the following information

to the Boards

i Resolution WHA8.10, Handbook of Resolutions and Decisions, 3rd e d " 2


INTER-COUNTRY PROGRAMMES

1956 1957

without supplement

with supplement

Region No. Amount No. Amount. No. Amount

$ $ $

Africa 16 500 8 72 900 12 I80 282

Americas 14 2 7 1 764 18 • 35斗 311 21 斗 0 7 311

South-East Asia • 2 8 800 6 60 094 6 60 094 Europe 24 179 钌 5 22 222 450 53 36) 250*

Eastern Mediterranean 7 52 .1.42 9 111 1^8 12 157 993

Western Pacific 3 53 078 5 81 649 7 111 449

5与 581 759 69 902 5;

I2 91 1 280 379

Region Undesignated 14 410 422 15 51Л 489 15 5 1 4 卿

68 . 992 181 84 1 417 031 106 1 794 868

Excluding any such projects which might be financed within the contingency

provision of $250 000

2,3,4 The Committee took note of., the total fellowship programme of the Organization.

The Committee was satisfied .that priority for fellowships has been given to those

that are project-associated in order that national staff can be trained to replace

international personnel. According to the data available in Official Records N o . 66

and in Appendix 8 (ЕВ17/АГДф/7) thç,costs (in thousands) of fellowships .in 1956 and

proposed for 1957 are:

1957

1956 W i t h o u t supplement Additional with

supplement

Individual fellowships

Project-associated fellowships

in КЛ

K\OJ

Í ：‘

: i

..... .

;

‘V>

J VJl

ro o

\ 00

1 :

1 i 1 ！

H»

VJl

0 o\

го

T o t a l 586 891 458

EB17/AP/3 Rev#l

page 25

2.3*5 Services of general international interest are also planned to be strengthened

in 1957•

2,5,6 The advancement of science makes it necessary for the WHO to adapt its pro-

gramme to take into account new developments important to "the attainment by all

peoples of the highest possible level of health". The Eighth World Health Assembly

made provision for specific activities for 1956 which the Director-General has taken

into account in preparing his 1957 programme,

2.3*7 One important trend for example, concerns a changing of programmes against

malaria from control programmes to eradication programmes• This is occasioned by

the demonstration of several species of malaria-transmitting mosquitos having acquired

a resistance to insecticides, A knowledge of this has given a new urgency to malaria

eradication. This new concept is reflected in the increase of money to be spent on

malaria programmes in 1956 and in 1957 over that spent in 1955. It is gratifying to

see that an increase has been provided by UNICEF in the use of its funds directed

toward this activity•

2.3*8 Rapid developments in the field of atomic energy are bringing new responsi-

bilities to WHO. While the WHO activities are still modest, the budget estimates

reflect the Organization's willingness to accept its proper role in this new field»

2.3*9 New developments in the prevention of poliomyelitis were discussed at the

Eighth Assembly» In accordance with the Assembly's mandate, the Director-General

has proposed certain programmes that will materially assist nations in evaluating the

poliomyelitis problems and particularly in investigating prevalent and possibly new

strains of the virus,

2.3,10 The Committee was pleased to note that the Director-General plans to continue

to work in co-operation with other international organizations and non-governmental

organizations interested in the same or related fields; it also noted that the

planned programme conforms with the criteria for priorities established by the

Economic and Social Council, in accordance with the Second General Programme of Work.


2.4 PROGRAMME LEVELS

As has been explained in paragraph 5<-1.2 of this report^ the Director-General is

presenting to the Ninth World Health Assembly alternative programme and budget

proposals for 1957, one in case the number of Members actively participating in the

Organization remains unchanged, the other based on active participation of all Members.

The Committee therefore presents its report on programme level for the two alternatives

separately:

2.4.1 Programme level in case the number of Members actively participating

remains unchanged

Aside from provision for normal statutory increments and statutory staff costs,

and provision for the increased costs of the continued activities relating to malaria

eradication and the peaceful uses of atomic energy, the increase in the programme

level under this alternative proposal amounts to $1 025 000. This amount would provide

for an increase in services of general international interest, some strengthening of

regional offices and of services provided by regional advisers and area representatives,

and an increased field programme in the amount of some $820 000. The Committee

recalled that the Seventh World Health Assembly had decided to reduce the proposed

1955 budget by some $800 000 which was recommended for field programmes and that the

increases in the budget adopted for 1956 by the Eighth World Health Assembly also did

not provide for those field projects。 The Committee noted the statement of the

Director-General in the Introduction to his proposed programme and budget estimates

that "for reasons stated in my Introduction to the Proposed Programme and Budget

Estimates for 1956, I refrained from asking for an increase for this purpose for that

year. Indeed, the additional amounts authorized by the Assembly for 1956 cover normal

statutory increments, new activities in connexion with malaria and atomic energy, and

an amount of $240 000 to meet the costs of international health personnel for jointly-

assisted UNICEP/WHO projects, for which UNICEF had previously reimbursed WHO. This

time, however, it is my duty to propose an increase in order to take care of the most

urgent needs of governments by providing assistance which has already had to be

delayed for two years and also to provide for some other essential functions."

EB17/AF/3 Revtl

page 25

2.4.2 Programme level based on active participation of all Members

The programme level which takes into account the active participation of all

Members provides for those activities shown in Annex 3 of Official Records No. 66.

The programme at this level is $1 525 000 higher than that proposed in the event of

the participation in the work of the Organization remaining the same as a^ present.

Aside from relatively small amounts which would be required for organizational meetings

and Central Technical Services, and a supplemental provision of $30 000 as a contingency

to meet additional staff requirements for the Regional Office for Europe resulting from

an expected increase in the programme activities of that region, the programme level

under this alternative would provide $1 467 780 for field activities. $1 218 000 of

that amount would be applied toward meeting requests for assistance from governments

in all regions not provided for in the other alternative. In addition, $250 000 of

that amount was set aside as a contingency to meet possible requests for advisory

services from Member States in Europe from which requests have not been received for

several years.

5. PROPOSED PROGRAMME AND EXPENDITURE POR 1957 UNDER THE EXPANDED PROGRAMME OP TECHNICAL ASSISTANCE

In reviewing the proposed programme and expenditure for 1957 under the Expanded

Programme of Technical Assistance, the Committee was informed that the Technical

Assistance Board had established target planning figures for WHO totalling $ 5 26l 029,

composed of $4 572 551 for projects (including $451 950 for regional projects) and

$688 478 for operational services and administrative costs. The amount for projects

is within a f母w thousand dollars of the total figure shown . in Category 工 for work

under the Technical Assistance Programme in Annex 4 of Official Records No. 66, p. 403,

which was developed on the basis of requests by governments for assistance in health

projects under that Programme, as reviewed by the various Regional committees. However,

bearing in mind the procedures established for country programming, as already

described in Chapter I of this report, the Committee was completely aware that the

projects shown under the Technical Assistance columns of the budget document were

completely tentative. While the Committee feels that the projects included in those


estimates after negotiation between the regional offices and the appropriate Ministry

of Health fully meet the criteria established by the WHO Executive Board1

and the 2

Health Assembly, the Committee wishes to emphasize that the amounts eventually

available to finance them will depend entirely on the priority given by the various

countries to health projects within their integrated country programmes as well as on

the total resources available to the Technical Assistance programme. For these

reasons, the projects under Technical Assistance funds for 1957, listed in Official

Records No. 66 for the information of the Assembly are highly tentative. The

Committee wishes also to emphasize the fact that those projects which are classified

as Category II in the Technical Assistance Programme are not likely to be financed

in 1957 except as savings occur or as projects are deferred in the Category 工

programme.

b. JOINTLY-ASSISTED UNICEP/VÍHO PROJECTS FOR 1957

The proposals in Official Records No, 66 set forth the jointly-assisted

UNICEF/WHO projects for which provision has been included in the Proposed Programme

and Budget Estimates for 1957. There is attached as Appendix 9 (ebi7/AF/WP/I6 Rev.l)

a table showing the Jointly-assisted UNICEP/WHO projects for which provision has been

included in the Proposed Programe and Budget Estimates. Although those proposals

reflect a slight decrease in the expenditure by WHO out of both Regular and Technical

Assistance funds for the costs in 1957 of technical international health personnel

on jointly-assisted UNICEF/WHO projects, they include all such projects which were

known to exist at the time the Programme and Budget Estimates were prepared. The

Committee therefore calls to the attention of the Executive Board the fact that the

Director-General has, in accordance with the decision of the Eighth World Health

Assembly in resolution WHA8.12, included in his Proposed Programme and Budget

1

Resolution EB11.R57.6, Handbook of Resolutions and Decisions, e d” 126 2

Resolution WHA6«27, Handbook of Resolutions and Decisions, ed., 133 •

Resolution WHA8,12, Handbook of Resolutions and Decisions, J>rd e d” 2б1


Estimates for 1957 full provision for international health personnel costs for

Jointly-assisted UNIСЕР/WHO projects, having had regard to the necessity for the

maintenance of a balanced public-health programme. The Committee also calls to the

attention of the Board the fact that the principles relative to financial relation-

ships between UNICEF and WHO have now been completely implemented. If the present

relationship between the level of activities and financial resources of both the

Organizations is maintained, there is no foreseeable obstacle to continuation o f

that arrangement.

5. ADDITIONAL PROJECTS REQUESTED BY GOVERNMENTS AND NOT INCLUDED

IN THE PROPOSED PROGRAMME AND BUDGET ESTIMATES

The Committee noted that information was submitted by the Director-General

concerning additional projects which, while having been requested by governments^

cannot be financed within the limits of the Director-General1

s proposed regular

1957 budget. It understood that the Director-General has submitted this information

in the light of the discussions which took place in the Eighth World Health Assembly,

The Committee also noted the Director-General1

s statement that while the total

estimated cost of these additional projects is approximately $462 000, there is,

in addition, a rather substantial programme shown under Category II of the Teohnioal

Assistance Programme in 1956 and 1957 w

hich has also been requested by governments,

adding up to about $2 ООО 000, and the implementation of which appears to be most

unlikely.


Chapter III. ANALYSIS OF COSTING PROCEDURES

BUDGETARY PROCESS

1.1 In its examination of the costing procedures used in the computation of the

budget estimtes the Coimnittee recalled the three-year budget cycley i«e« the plan-

ning year, the approving year and the operating year, and the general procedure

governing the development of the Director-General1

s proposed programine and budget

estimates for each year, as described in the report of the thirteenth session of

the Executive Board on the proposed Programme and Budget Estimates for 1 9 5 5 ^

X#2 Each year，immediately after the meeting oí the World Health Assembly and the

Executive Board session which follows it, the Director-General issues instructions

to the regional directors, regarding the preparation of programme proposals for the

second succeeding year； hence instructions for the preparation of the 1957 Pro-

gramme and Budget Estimates were issued in June 1955- These instructions include

directives on programme trends and other policy considerations based on decisions

of the Board and Assembly. The instructions also indicate the tentative alloca-

tions of funds to each region, which the Director-General makes under the guiding

principles for the allocation of resources between regions as requested by the 2

Executive Board in resolution EB13.R2J.

1.3 The regional directors thereafter plan prograjnmes in consultation with the

governments and, where appropriate, in collaboration with any other interested bi- ‘

lateral or multilateral agencies, on the basis of requests received from such govern-

ments, taking into consideration the suitability of proposed projects in the li^iit

of the general programme of work for a specific period and the other discussions and

decisions in the Assembly and Board as well as guidance received from previous sessions

of the regional committees# The projects accepted by the regional director for in-

clusion in the draft regional Programme and Budget Estimates are initially costed by

1

。仏 Rec, Wld Hlth Org. 53, 6 and 7

Resolution EB13.R23, Handbook of Resôlutions arid DecisionsA 3rd e d " 114


the regional office in accordance with detailed instructions from Headquarters on

the соsting procedures to be followed- The instructions pertaining to the pro-

posed prograrir.iQs and budget estimates are incorporated in the manual regulating the

Organizationi s administrative practices and procedures•(Appendix 10)•

1#4 The documents containing the draft regional Programme and Budget Estimates

are distributed to the governments within the region and copies are forwarded to

Headquarters for review. The technical départirent s at Headquarters examine the

programmes and submit their comments to the Director-General while the Budget

Section scrutinizes and reports on the computation of the estimates• Any changes

in the regional programme proposals reccxnmended by üie Regional committee are re-

ported to Headquarters and submitted to the Director-General，together with the com-

ments of the technical departments and with tentative summaries of the estimates in-

corporating any changes in the costings which have been found necessary. The

Director-General then prepares his proposed programme and budget estimates ior the

year and submits them to the Executive Board and the Assembly,

2. COST FACTORS USED IN THE ESTIMATES

2^1 To assist the Committee in its examination of the costing procedures followed

in the preparation of the budget estimates, the Director-General made available to

the Coimnittee the following statements concerning the cost factors which have been

used;

2«lfl Summary analysis of expenditiore in 1952，1953 and 1954 on certain entitle-

ments for which averages were used in the computation of the prograinme and budget

estimates, see Appendix 11 (EBI7/AF/WP/8) #

2«1«2 Plus and minus factors applied to the estimated costs of Major Organisational

Units at Headquarters^ see Appendix 12 (EBI7/AF/WP/9).

2山 3 Plus and minus factors applied to the estimated costs of regional offices,

regional advisers e t c ^ see Appendix 13 (EB17/AP/WP/lO) •

2Лф4 Staff turnover figures applied to the budget estimates^ see Appendix 14

(EB17/AF/WP/11) •

ÎSB17/AF/3 Rev.l page 30

2sls5 Deductions applied to the programme and budget estimates for delays, in the

implementation of new projects, see Appendix 15 (EB17/AF/WP/12)•

2.2 In presenting the above-mentioned statements the Director-General drew the

Coimnitteeis attention to the fact that the averages used in computing the 1957

estimates were based on actual expenditure during 1952, 1953 and 1954, whereas the

estimates for 1956 as contained in Official Records No. 58 were based on two years1

.

experience• The Director-General also quoted the individual averages previously

used so that the Committee was able to see -what changes had been made in the aver-

ages in the light of the actual expenditure over the longer period of three years•

2.3 With regard to the statement indicating the amounts applied to the estimated

costs of major organizational units at Headquarters (in respect of staff turnoverд

lapses in effecting replacements, step differential and delays in filling new posts

in 1956 and I957) the Coirmiittee noted that these had been calculated on the bases

described in para graphs 6.4 to 6c8 of the Notes on the Presentation of the Programme

and Budget (pp- XX and XXI of Official Records N0。66) •

2Л In reply to a question by the Chairman^ the Director-General confirmed that,

in the light of throe years1

experience, the provision for staff turnover had been

calculated on the basis of per cent, of the number of established posts of in-

ternatrionally recruited staff^ and 10 per cent, of the number of established posts

for locally recruited staff at Headquarters- To the figures so arrived at had been

applied the appropriate average costs for recruitment, repatriation and transporta-

tion of personal effects at the Pe3 level and local grades respectively^ as explained

in the Notes on Presentation of the Programme and Budget^ In this connexion the

Committee noted that for the previous year three per cent, had been used in the

calculation of the staff turnover figures relating to internationally recruited

staff，况hile in the case of locally recruited staff no change had been made. As

the percentage figures for the three financial years 1952, 1953 and 1954 in both

cases exceeded the percentages applied to the 1957 budget estimates, it was clear

that the amounts estimated for staff turnover at Headquarters were conservative#

EB17/AF/3 Rev.X îpage 31

2.5 In the caae of the staff turnover figures applied to the 1957 budget estimates

relating to internationally recruited staff in the regional offices (including

regional advisers, regional and area health officers, zone offices and area Represen-

tatives), the Commttee noted that, since the actual percentage turnover for 1954

was 11.26 per cent and the average for the three-year period was 9#35 per cent，the

percentage figure applied (9 per cent•) was also conservative»

2.6 As regards the averages used in confuting the estimates for various entitle-

ments under the Staff Regulations and Rules, the Committee noted that the averages

of the actual expenditure for the three years were, in most cases, in excess of the

overages applied. In the few instances where the averages applied were sli^itly in

excess of the average e^enditures during the three years1

period, it was found

that the differences resulted from rounding off. On the vdxole, therefore, it was

clear that the averages used were conservative.

2.7 With regard to the deductions applied to the Programme and Budget Estimates

for delays in the implementation of new projects, the Director-General explained

that these de due ti ops had been applied in order to take into account delays in the

implementation of new projects which, in the li^rb of experience^ had been calculated

to be three months « These deductions were not shown by individual regions in the

budget estimates but only on an overall basis. In some cases no deductions had been

made because projects required only short-term personnel.

2遘8 The GomiTiittee also examined a statement submitted by the Director-General

setting out the number of posts and estimated net expenditure for the years 1955д

1956 and 1957 for regional offices and field activities under all funds, by •.

regions. This statement is attached as Appendix 1 (EB17/AF/WP/13)•

3. COSTING OF INDIVIDUAL PROJECTS

ЗД • GENERAL

ЗЛ*1 In order to satisfy itself as to the accuracy of the budget estimates and of

the bases upon which the estimated costs of the individual projects in the programriie

and budget estimates for 1957 had been established the Committee selected the follow-

ing projects for Triiich it requested the Director-General to provide the details of

costing:


Region Project Title Page Refereiace in Official Records No. 66

Africa Bilharziasis Control 370 and 371

Алю ricas Nursing Education • Ecuador 138

Europe Symposium on Public Health Aspects of Chronic Diseases 376

Region Third Asian Malaria.Conference 360 Undesignated

3.1-2 The sel3ction of the four projects was governed by the desire of the Com-

mittee to review the cost estimates of several different types of projects, i«e*

country projects, inter一country projects, inter-regional projects, in the Director-

General1

s proposed pro gramme and budget estimates for 1957#

3丄 3 In submitting the detailed costing forms and explanatory notes relating to

the selected projects, the Director-General informed the Coranittee that similar

information for each project included in the budget estimates existed and could be

reproduced if the Committee so desired. The detailed costing forms showed the

method used in preparing budgetary estimates. Information concerning individual

projects was submitted on these forms to the Director-General by each region.

The forms were then carefully scrutinized by the Budget Section and revised if

necessary.

ЗЛА A member asked hew government contributions were fixed, by whom they were

determined, how they were shown as receipts in the Annual Budgets, and Aether they

appeared on the costing formsл * In reply, the Director-General said that govern-

ment contributions were computed by the government concerned. The government's

participation is speciiied in the plan of operations, having been agreed by "WHO and

by governments for each project so that detailed provisions were made by both. The

main items on which government contributions were calculated were set out in resolu-

tion ViHA.5-59* The Committee would note that a space was provided at the bottom of

the costing form for "Estimated government contributions" • As regards the manner

in which government contributions were shown in budget estimates, the Committee


would recall that they were given at the bottom of the list of projects for every

country and placed between brackets to indicate that they were not included in the

WHO budget totals

3.2 BILHARZIASIS CONTROL PROJECT: AFRICA

3#2-l Referring to the explanatory notes and the costing form (Appendix 16)

relating to the Bilharziasis Control project included amongst the inter-country*

projects for Africa in the Supplement (Official Records No. 66, pp. 370 and 371),

the Director-General stated that the costing form should be examined in the light

of the averages used in computing the cost estiraates^ which had previously been

examined by üie Coïnruittee (Appendix 11 EB17/AF/WP/8) • With regard to the detailed

information required to be inserted in the costing form, the Director-General

explained that the major subject heading of the project was indicated to facilitate

its inclusion in the зшгцпагу appearing in Official Records No. 66• He also ex-

plained that a number was assigned to each post, for reference purposes. As had

been pointed out in the explanatory notes, the salaries (item 1) shown were at the

base steps of the grade¿ the staff insurance (item 8) figure was 1 per cent» of

that salary. The other figure had been based on the appropriate averages as

explained also in Official Records No» 66, page In the case of the Medical

Officer, P4, the recruitment and repatriation allowance^ shown as $1500, was the

sum of the averages, 1600 for installation allowance (item 3) and $900 for recruit，

ment and repatriation (item 10). The project service allowance (item 4) of Îp807

had been calculated for 11 months because the installation allowance provided for the

first month. The dependants1

allowance (item 5) had also been worked out in

accordance with the averages used in the budget estimates while the amount for duty-

travel (item 9) represented the estimated per diem costs for the post in accordance

with the daily subsistence rate applicable to the country and was based in that

particular case on 100 days1

travel per annum. The form was designed to give

totals on the right hand side and included a space for the cost of supplies and

equipment which was worked out in accordance with the needs £>r each particular

project•


3 -2.2 With regard to the four assistants mentioned in the narrative relating to

the project under consideraticn, the Director-General explained that no costs had

been shown on the iorm, although they would be paid by the governments concerned.

It was not possible to lay down a general rule about the participation of governments

in the financing of inter-country projects,because the extent of such participation

varied. For instance, governments were taking a most active part in financing

projects to eradicate malaria from Central America and the Caribbean area. Every

effort was made to provide full information on the amounts of government contributions

to projects. However, in some cases it vas difficult for governments to identify

the exact costs relating to specific projects乡 in other cases, governments submitted

cost information too late to include it in the estimates•

3-2.3 A member asked which East African countries were concerned with the project

under exai-nination» The Regional Director for Africa said the project under examin-

ation had be en requested by the East African High Commissioner. The administrative

functions oí that authority extended over Kenya} Uganda and Tanganyika• In reply to

a further question he stated that the responsibility for all decisions concerning the

cost to each government and the areas of each country where work would be carried on '

rested with the East African High Commission^

3.3 NURSING EDUCATION PROJECT: ECUADOR

3 * 3 W i t h regard to the Nursing Education country project planned to commence in

1956 in Guayaquil, Ecuador (Official Re cords No. 66, pages 13 c> and 170), the Committee

noted the information given in the explanatory notes and th6 costing form (Appendix 17) •

Since it would be a new project in 1956, the. appropriate averages had been applied.

As regards home leave costs, it vas noted that the average of /750 had been included

for 1957 for the post expected to be filled in 1956.- The provision for duty travel

included an amount to cover the cost of travel for purposes of consultation with the

Zone Office in Lima, Peru,

It "was noted also that the detailed costs shown on the form included amounts

for fellowships and that the field of study arid the number of fellowships were also

shown. The Committee understood that the amounts for fellowships had been

estimated on the basis of experience•

SB17/AF/3 Pev.l page 35

3.3.3 In reply to a question as to whether the averages shown in the statement

previously^ consdered by the Board (Appendix 11 (EB17/AF/WP/8)) applied to all

projects in all countries, or whether a special calculation was made for each case,

the Director-General stated that the averages were used on a world-wide basisj if

they were applied on a smaller basis they would not result in reliable estimates.

It should be noted that averages were used only where no exact data were available.

The estimated costs for a particular year in the proposed programme and budget

estimates might be different from the figure for the same year in the estimates

for the previous year^ the reason was that more recent and therefore more

accurate information was available at the time the later estimates were prepared.

3.3.4 In reply to a further question the Director-General explained that it

would not be feasible to calculate separate averages for each region, since

separate averages would result in a distorted picture? also staff for a projeot

in a particular region might come from anywhere in the world. Moreover, if

deductions for delays in the implementation of projects and the replacement of

personnel "were calculated on a regional basis, the resulting averages would not

be applicable to an integrated budget e

3.4 SYMPOSIUM ON TEE PUBLIC HEALTH ASPECTS OF СШШС DISEASES, EUROPE (Official Records Ko. 66, pp. 376 and 373) •

3.4.1 In explaining the bases on which the cost estimtes of this inter-country

symposium had been determined, the Director-General stated^ inter alia, that the

provision for short «terra consultants had been computed on the basis of three

consultant months} the appropriate averages ($700 per month for fees for a senior

consultant and ^600 per month for travel) being used to arrive at the total shown

for this item. Detailed information was set out in the explanatory notes and in

the costing form (Appendix 18). •

304.2 The Chairman, recalling that a question had been raised previously regarding

the distribution of reports of conferences, enquired whether, in the present case,

the ,660 provided for supplies and equipment would be enough to cover the cost of

printing the report of the symposium. The Director-General replied that no provi-

sion was made for the production of the reportc All but l60 of the provision for

БВ17/АР/Э Rev.l page 36

supplies was for interpretation equipment• The Regional Director for Europe added

that the sum of (ЛбО was for literature required daring the conference• In the

European Region it had been found that reports of activities such as the symposium

under consideration fell into two categories. Either they were suitable for in-

clusion in Ш01

s publications programme, in which case their production was financed

under that programme, or they were distributed on a predetermined basis within the

Region. In the latter case, it sometimes happoned that the production of the

report did not fall in the same year as the conference, x^iich was why, as the

Committee would have noticed in examining the Programme and Budget for Europe, a

separate overall provision for reproduction of reports was included in the Budget

for each year,

3#4

#3 Stating that the Regional Directors statement illustrated a point he had

made on a previous occasion the Chairman of the Executive Board indicated that delays

in the distribution decreased the value of reports to the public health services

сoncerned. In reply the Director-General said that the matter would require s от

consideration, as arrangements were not the same in all regions ； for example% not

all regional budgets included the overall provision referred to by the Regional

Director for Europe• Many reports of conferences, of course, were reproduced and

distributed by Headquarters• Howover, a problem did exist and he would look into

it.

3.4^4 A member asked whether the total provision of $15 000 for the symposium

took account of,the possible participation o£ Members at present inactiveд and if

nots how the necossary funds would be obtained. The Regional Director recalled

that in the Committee1

s review of the proposed, programme for the European Region

he had indicated that the supplementary item of 000 was built up of three

elements• The second of the three elements was to provide for the participation

of inactive Members in projects already planned, and the symposium was a case of

that Ъурвф


3.5 THIRD ASIAN IÍA.IARIA CONFERENCE: REGION UNDESIGNATED (Official Itocords No. 66, pp. 360 and 562)

Tho Coim-iiittoG noted that this Conference was an inter-regional project. In

the course of its examination of the cost estimâtes as explained and given in

detail in tho explanatory notes and the costing form (Appendix 19) the ComraittoG

was informed by the Director-General that the amount provided for supplies and

equipiW3nt did not include the cost of publishing the report of the Conference•

However, as regards the general question of making available such reports promptly,

the Director-General again assured the Committee that he would investigate the

possibilitiesf

EB17/AF/3 Rev,l page 38

Chapter IV. DETAILED EXAMINATION OF PROPOSED PROGRAMME AND BUDGET ESTIMATES FOR 1957

Introduction

There follows a detailed examination of the Proposed Programme and Budget

Estimates for 1957, in the order in which the estimates are shown in Official

Records No. 66, The Committee wishes to record the fact that its examination

extended to both of the alternative effective working budgets presented by the

Director-General. The increases and decreases in costs reflected in the budget

estimates as compared with 1956 are set

(EB17/AFATP/7) • . • .

The Committee, at the same time as

programme, also examined the details of

f>rth in the tables In Appendix 8

it examined the details of the regular

the programme proposals and estimated

expenditure under the Expanded Programme of Technical Assistance. However, in

view of the programming procedures of the Technical Assistance Programme, the

Committee was not in a position to examine those proposals to the same extent

as the regular programme and budget estimates.


1. ORGANIZATIONAL MEETINGS

(Official Records No. 66, pp. 19-21)

World Health Assembly

Executive Board and its Committees

Regional Committees

1956

Estimated Expenditure

1957

183 880

109 330

62 800

Difference Without

Supplement Ф

195 880

109 330

51 780

Provision in Without Supplement Supplement

356 010 356 990

3 320

1 800

400

5 520

T

12 000

(11 020)

980

With Supplement

15 320

1 800

(10 620)

6 500

1.1 WORLD HEALTH ASSEMBLY

The Committee noted that the increase of $12 000 in the 1957 estimates for

the World Health Assembly as compared with those for 1956 resulted from the proposed

publication in 1957 of a further edition of the Handbook of Resolutions and Decisions

in accordance with resolution EB15.R69 of the fifteenth session of the Executive Board.

In reply to a question by the Chairman, the Director-General explained that

the estimate of 如 2 0 included in the supplement provided for the travel expenses

of one delegate from each of the Member States who have been absent from the past

several Assemblies, and for additional interpretation and stenographic services

necessary to comply with Rule 80 of the Rules of Procedure of the World Health

Asseihbly, It was pointed out that the official languages of the Health Assembly

•were English, Chinese, French, Russian and Spanish, and that although the Assembly

works in three languages onl^ speakers could use amy of the five official languages.


•which had to be interpreted into English^ French and. Spanish. Thus if a speaker

•were to use for instance Russian, interpretation into three other official languages

•was required, and a record would have to be made of the original speech by a steno-

grapher.

1.2 EXECUTIVE B0ÀRD AND ITS COMMITTEES

The Committee noted that there was no change in the estimates for the Executive

Board and its Committee in 1957 as compared with 1956, and that the estimates which

•were based on the actual expenditure incurred in 1955 provided for two sessions of

the Board, tho first of -which is to be preceded by a meeting of the Standing Committee

on Administration and Finance.

The Committeef

s attention was drawn to the fact that the additional amount

of ¿1800 included in the supplement provided for the interpretation of speeches

made in an ofïicial language other than English, French and Spanish at meetings

of the Executive Board, and its Committees during 1957.

In reply to a member "who questioned whether this provision might not pre-

judge the future membership oi the Executive Board, the Director-General explained

that ary government could send a representative who in accordance with Rule 8 of the

Rules of Procedure of the Executive Board has the right to speak on any matter of

particular concern to that government.

He further informed the Committee in reply to another question that there were

no specific funds available to him from which such expenditure could be inet as the

Working Capital Fund could only be used for unforeseen expenditure

1.3 REGIONAL COMMITTEES

The Committee noted that the estimates-ior regional committees in both 1956

and 1957 have been based on the venues of these meetings decided upon by the

individual regional committees in 1955， and that the variations in the requirements

of individual committees resulted from the services expected to be provided by tho

different host governments.


The Qiairman drew attention to the inclusion in the estimates for the

Eastern Mediterranean Regional Committee of an amount of $9600 to cover the cost

of using -the Arabic language for the work of the Regional Committee. The Director-

General stated that he assumed that the question of principle would have to be care-

fully considered by the Executive Board before the Committee could express itself

on the financial aspects• Under Article 49 of the Constitution regional committees

adopted their ovm Rules of Procedure which also cover the question of official and

working languages•

A member asked if the additional expenditure incurred when a session of a

regional committee was held away from the regional headquarters was not to be met

by the host government • The Director-General infomed the Committee that the

arrangements made for such sessions varied from region to region and that this

matter had been carefully considered by the regional сommittees. One region had

decided upon arrangements such as referred to by the member, but the others had

differing practices• The Committee draws the attention of the Board to this

question#

The Committee noted that the estimtes for the European Regional Committee

included under the supplement provided an amount of $400 to meet the costs of

interpretation of speeches made in an official language other than English and * •

French at the 1957 session•

EB17/AF/3 B e v A page 42

2. CENTRAL TECHNICAL SERVICES

(Official, Records No, 66, pp# 22-40 and J67)

Estimate s 1

Nviniof r of Posts

2.1 General

2.1.1 In reply to the Chairman1 s request for an explanation of the increase of

$150 679 in the estimates for Central Technical Services, the Director-General said

that the work of the Department had been expanded to meet the requirements of

Governments, research institutions and other international organizations as well as

units within -i HO. Requests for services were increasing year by year, and everything • •；i

i • •

pos^ib^e had been done to make the greatest use of the existing facilities. The

fuiîctlcn^ of the Department included the carrying out of certain longstanding

services dating back to the League of Nations and the Office International d'Hygiène

Publique• These functions and the steps taken to reorganize the Department were

reported to the last Session of the Standing Committee, and are to be found in

Official Records No, 61, pp. 17-19• It was expected that the demands on the Depart-

ment would increase in the same way as in I955 during the coming two years, and it

had now become impossible to further expand the services provided by the Department

with the present staff. Careful thought had therefore been given to the possibility

of recommending an increase in the number of technical officers, but in view of other

1956 I957 Differences — 一 WithoutProvision in Without With "“

Supplement Supplement~ Supplement Supplement $qj ф ф a*

ф ф ф ф

7 6 6 635 1 917 312 2 1 700 1 5 0 6 7 9 1 7 2 379

234 241 7 7


essential requirements it had been considered that the 1957 proposals for the

Department should be restricted to the provision of an additional; medical officer in

charge of Atomic Energy activities, the provision of some four locally recruited posts

in order to.enable the existing staff to function efficiently, and two additional ' . i

officers for the Editorial and Reference Services.

2 .1 .2 The Director-General further explained that it was yet too early to decide

how a unit on Atomic Energy should be fitted into the organizational pattern,

particularly as this work has various aspects which would fall within the competence

of both the Departments of Central Technical Services and Advisory Services• However,

for budgetary presentation purposes, these activities were included in Central

Technical Services, while its work was continuing to be directly supervised by the

Director-General. As the work of this unit was to cover many diverse aspects in the

field of Atomic Energy in relation to health, it was considered essential to

strengthen the staff by providing a medical officer and a stenographer in addition

to the existing medical officer and secretary.

2 .1 .3 The Committee noted that the provision for normal salary increments of

$27 750， increase in statutory staff costs of $37 152 eünd an increase in the ..

estimates for common services at Headquarters apportionable to the Department of

• ' « • • ‘

$7550, accounted for approximately $72 000 of the total increase of $150 679.

2.1.4 Speaking as a member of the Committee, the Chairman said that it was one of

WHO's principal functions to carry on certain traditional international services•

He had heard it suggested in certain quarters that the Director-General1 s policy

has been too conservative, and in his personal view such services should be expanded.

The Chairman of the Executive Board stated that the views he had expressed at the

fifteenth session of the Board showed that he was fundamentally of the same opinion

as the Chairman,


2,1.5 The Committee noted that provision was made in the supplement for -the printing

of additional copies of technical and other publications in English and French for

distribution in Eastern European countries ($9200), and for the acquisition of

additional works in Eastern European languages for the library to meet the needs of

consultants, other staff and fellows coming from those countries ($5000). Provision

is also made for the production of the Chronicle in Russian at an estimated cost of

$7500 should the Ninth World Health Assembly authorize the Director-General to resume

publication.

2.2 EPIDEMIOLOGICAL AND HEALTH STATISTICAL SERVICES (Official Records No. 66, pp. 22-24 and ， 2 — ，斗） ― ― 一一一一一一一一 —

Estimates1

Number of posts

1956 1957 Increase

$260 792 $271 102 $10 310

54 56 2

2.2.1 The Committee noted that the staff of the Division showed an inorease of two

general services posts^ one in the Section dealing with Epidemiological Information

and Morbidity Statistics to help with the additional statistical and clerical work

entailed by the expansion of studies, and the other in the Statistical Studies Section

to relieve the professional staff of some of the routine analytical and computation

work. A reduction of $1010 for Duty Travel and.revisions to the requirements for

short-term consultants (involving no change in the amount provided as compared with

1956) were noted.

2.2.2 A Study Group was proposed to advise the Director-General on the co-ordination

of Epidemiological and Statistical Studies undertaken by the OrganizatiCMi ($3000).

Inclusive of salaries, consultantsf

fees and travel, and duty travel, but exclusive of common services costs, statutory staff costs, grants, contractual technical services and other forms of research co-ordination, and other costs (study groups) shown on pages 59 and 60 of Official Records 66 as well as the factors relating to staff turnover and lapses and delays in effecting replacements (see page 52 of Official Records 66) which are applied to the estimates for Advisory Services on an overall basis.


The Director-General explained that such a meeting was planned because of the

importance of epidemiological studies, particularly in oountries whose National Health

Services were in process of development.

The Committee noted that owing to the reduction in 1957 of t.he volume of ,

work in connexion with the seventh decennial revision of the International List of

Diseases and Causes of Death, the Grant-in-Aid to the WHO Centre for the Classifica-

tion of Diseases would be reduced by $1900.

2.5 THERAPEUTIC SUBSTANCES (Official Records No, 66, pp. 25-28 and 34-56)

1956 1957 Difference

Estimates1

$277 151 $291 350 $14 219

Number of posts 68 69 1

The Committee noted that in this Division provision had been made for.an

additional clerk-stenographer in the Health Laboratory Methods Section. This post

was required in view of the rapid development of the activities of this Section. It

was also noted that the provision for short-term consultants for the Division was

increased by $J600. Additional consultants were required to assist in studying the

situation in regard to the utilization of International Biological Standards in the

régions; to prepare material for a Study Group on Histological Definitions of Cancer

Types; to assist in the work of specifications and assays for the second edition, of

the Pharmacopoea Internationalism and to make a survey of the use of specifications

for pharmaceutical preparations in a number of countries•

29J>.2 The Committee further noted that the grant to the Centre for Authentic

Chemical Substances in Stockholm was increased from $2000 to $4000 to allow for the

necessary expansion of the work of the centre which has the custody of standards

1 Inclusive of salaries, consultants' fees and travel, and duty travel, but exclusive of common services costs, statutory staff costs, grants, contractual technical services and other forms of research co-ordination, and other costs (study groups) shown on pages 59 and 60 of Official Records 66 as well as the factors relating to staff turnover an^ lapses and delays in effecting replacements (see page 52 of Official Records 66) which are applied to the estimates for Advisory-Services on an overall basis. 、


for such substances as can be identified by means of physico-chemical methods, and

standards which are required by national institutes.

In reply to questions, the Director-General explained to the Committee that

two new Study Groups were proposed for 1957, one on Histological Definitions of

Cancer Types and the other on Enteric Fevers. The former had been recommended by a

consultant group on the cancer programme of the Organization, which considered that,

as a basis for valid statistics on cancer prevalence and therapy, a system should be

developed for the standardization of pathological diagnosis. As a first step, a study

would be made in 1957 of those types of cancer for which such standardization should

have priority. The latter study group on Enteric Fevers was proposed to allay the

growing concern at the lack of comparability of epidemiological data and uncertainty

in diagnosis'of enteric fevers and infectionst

2•斗 In reply to a request by the Chairman for details of the estimates for the

Tuberculosis Research Office in Copenhagen, the Director-General stated that in

compliance with Resolution EB15.R20 he had completed a study of the programme of the

Tuberculosis Research Office to determine how best it could be adjusted to the

general policies of the Organization. His report, which incorporates the adjustments

to his Programme and Budget Estimates for 1957 required to implement his recommenda-

tions, would be presented to the Executive Board at the forthcoming Session, In

view of this, the Director-General requested the Committee to postpone detailed

consideration of the changes he proposed until the Executive Board had examined his

report. This was agreed to.


2.4 EDITORIAL AND REFERENCE； SERVICES (Official Records No. 66,

1956 1957

.Estimates1

$496 92^ .$521 551

Posts 102 104

PP. 28-50, 36-37, 39-40^

Difference

$24 628

2

additional posts pro-

be published in the

in the provision for

2.4.1 The Director-General informed the Committee that the two

posed of editor and translator are required if monographs are.to

Spanish language during 1957• He pointed out that the increase

the printing of publications amounting to $)6 700 was necessary to meet the production

costs of the monographs in Spanish> as well as the costs of printing the second edition

of the Manual on the International Statistical Classification of Diseases, Injuries and

Causes of Death. This amount also included the related increases in the United Nations

printing charges.

2.4.2 The Chairman, speaking as a member of the Committee, drew attention to the

relatively high price of WHO publications and to the fact that the prices in various

currencies were somewhat discrepant. In his reply the Director-General pointed out

that the selling prices were calculated on the bases of two different systems: the

cost price of Official Records and the Technical Report Series was based on the cost

of paper and machining, but did not take into account the cost of composition. The

selling price of these publications was obtained by doubling the cost price in order

to cover distribution costs. The cost price of the other publications took into

account all manufacturing costs, including that of composition, and the selling price

was also obtained by doubling the cost price.

2.4.3 The Director-General further pointed out that the prices of publications of

several other international organizations were higher in United States dollars than

in other currencies at the prevailing exchange rates. In the case of WHO, the

higher prices were due to the fact that allowance had to be made for the high cost of

distribution of publications in the United States. Indeed, the OrganizationT

s sales

agent in the United States had previously commented that the prices of WHO publications

were too low. As a result of inquiries made throughout the world it appeared that

Inclusive of salaries, consultants1

fees and travel, and duty travel, but exclusive of common services costs, statutory staff costs, grants, contractual techni-cal services and other forms of research co-ordination, and other costs (study groups) shown on pages 59 and 60 of Offiolal Records 66 as well as the factors relating to staff turnover and lapses and delays in effecting replacements (see page 52 of Offiolal Records 66) which are applied to the estimates for Advisory Services on an overall basis.


the prices of WHO publications were on the whole at the lower end of the price scale for

similar books, and it was generally considered that the present prices were acceptable.

Reductions for bulk orders, however, were made to medical and health organizations.

2.4.4 In reply to a question by a member, the Director-General explained that WHO

publications were sent to national health administrations and members of the Board, and

that technical publications were in addition sent to members of expert panels* The

publications policy followed by the Organization was that which had been accepted by the

Board at its ninth and eleventh sessions and also adopted by the World Health Assembly,

The principle underlying the policy was that the World Health Organization could make a

major contribution towards the development of medical and health services through the

distribution of its publications. The World Health Assembly had also recommended that

particular care be exercised in the free distribution of such publications because of the

heavy expenditure involved, and it had, therefore, been necessary for the Director-General

to reach a compromise between these two requirements. Addressees had been circularized

and requested to state whether they wish to remain on the free distribution list, and as

a result it had been found possible to reduce the list. For example, the free distribu-

tion of.the monthly Epidemiological and Vital Statistics Report had been reduced by 175

copies since a number of persons and organizations on the free mailing list had failed to

confirm their desire to have their names retained on the mailing list,

2.4.5 A member of the Committee suggested that since it was some years ago that the

present publications policy of the Organization had been established the time might well

have come for its review, which could take into account any changes in the general situa-

tion. For example, was it considered necessary that every country in the world receive

such frequent reports on epidemiological information as was now the case? The Director-

General explained that the distribution of epidemiological information was an obligatory

function of WHO and that it was carried out through two separate publications^ one being

distributed weekly to all countries to report occurrence of quarantinable disease, the

second being one published monthly and containing material received from all countries

of their mortality and morbidity• While these publications were distributed gratuitously

to national health administrations it was open to the latter to request that they be

removed from the distribution list. One member stressed the great importance for

countries to receive promptly the information, in view of the risk of transmission of

disease resulting from the rapidity of present-day international transport, even though

they may .not be affected by the outbreaks of such diseases as may be imported.


2.4.6 Some discussion took place irr the Committee as regards the desirability of

reviewing the Organizations' publications policy• The Committee felt that this

matter should be brought to the attention of the Executive Board in order that it

may consider whether a review should be undertaken In 1957# the present policy having

been laid down as early as 1952•

2.4.7 The Committee was also provided with up-to-date information on distribution

and sale of WHO publications, which subject had been reviewed by the Standing Committee

during the fifteenth session of the Executive Board, It was recognized that one of

the fundamental factors affecting distribution, whether paid or unpaid, was the langu-

ages of publication• The proposal that as from 1957 the monographs should be published

in Spanish would be an important step in the direction of widening the international

appeal of WHO publicaticHis. Details were furnished on the distribution of sales in

respect of periodicals/ monographs and Official Records^ as well as other publications

of the Organization• The Committee noted the increase of approximately 25 per cent»

in the amount of revenue from sales of publications which had occurred in 1955 as com-

pared with 195^. There are attached as Appendices 20, 21, 22 and 2?, EB17/AP/WP/19 Add, 1；

four charts which reflect (a) the number of copies of the Bulletin and the Digest distri-

buted in the years 1952-55, (b) the number of copies of the Pharmacopoea Internationalism

Vol. I , Spanish Edition and of Vol. I I , English and French Editions distributed from

date of publication to end of 1955, (c) distribution of numbers 21-26 (English and

French) in the Monograph Series and (d) development of sales of WHO publications, 1950-55•

2.4,3 A member asked how many numbers of the Chronicle had been published in Russian

and how many copies had been made. The Director-General informed the Committee that

three complete volumes of the Chronicle had been published in Russian, and Nos. 1-2 of

Volume Of the first three volumes, the total impression was 1000 copies• Free

distribution amounted to 100 copies, and sales to 10 subscriptions. Of the 100 copies

distributed free, about 50 were dispatched to the USSR, 12 to the Ukrainian SSR, 6 to

the Byelorussian SSR and the balance to addressees in various other countries• The

remaining copies, amounting to almost 900, were never distributed. Starting with

Volume b, the total impression was reduced to 500 and, at that time, the level' of

distribution was 8 5 distributed free and two subscriptions.


3. ADVISORY S腿ICES.(HEADQUARTERS)

(Official Records No. 66д pp„ 41-60)


Estiinates #1 093 686 $1 129 176 135 490

Posts 107 108

ЗД GENERAL

In considering the net increase of |>35 490 in the estimates for Advisory

Services (Headquarters) for 1957， the Committee noted that provision had been in-

eluded for one additional post, a clerk-stenographer in the Nutrition Section, and

that the only other proposed change in staffing entailed the suppression of a post

of medical officer P.4 and the creation of a post of technical assistant P.l in the

Section "Assistance to Educational Institutions", As regards other factors con-

tributing to the increase in the cost estimates, the Committee noted particularly

the increased amounts provided for duty travel ( 14440), short-term consultants

(ШзОО), common services (11969), salary increments (414 673) and statutory staff

costs ($18 $72). These increases are partly offset by decreases in the amounts

provided for grants-in-aid ($9200) and for study groups (^1200)• 、 . • • • • ， . . . . . . . . . . . ‘ ， •

3#1.2 With reference to the increase in the amount included for salary increments

and statutory staff costsд a member called for further information in this connexion.

In reply, the Director-General pointed out that the provision for normal salary in-• • •• . . .

crements was included throughout the estimates since the staff under the Staff Regu-

lations and Hules would receive salary step increases after a certain length of

satisfactory service• It might be expected that the level would be reached where

staff turnover would offset yearly increases in pay* Such might be the case if a

certain year was compared with another preceding it by some five to seven years and t

the budget and staff levels remained unchanged. However, this would not be the case » . _ •

if two consecutive years were compared. As regards statutory staff costs, these

were bound to vary from one year to another, according to the number and amounts for

home leave allowances and other entitlements of individual staff members in any-

given year.


3.1.3 Whilst noting the overall increases and decreases in the estimates relating

to the Department^ the Committee called for and received information relating to

certain specific aspects of the proposals as indicated in the following sections of

this report dealing with the various divisions,

3.2 COMMUNICABLE DISEASES SERVICES (Official Records No. 66， pp. 41-44 and 54-55)


Estimates1

$189 384 $196 811 $7 427

Posts 27 27 -

3#2.1 The Committee noted that no changes in staffing were proposed for 1957

and that the abovê increase in the estimates related to personal services ($3654),

duty travel ($2573) and consultants1

fees and travel ($1200)• As regards the

increase for duty travel, the Committee noted particularly that the amount provided

for the Malaria and Insect Control Section was $2940 in 1957 as against 银 1 8 9 4 in

1956 and that the provision was intended to cover the costs of planned visits to

regions to attend technical meetings and to advise on malaria eradication programmes.

Although the total amount provided for consultants represented a net increase of

$1200, it was noted that provision had been made for ТВ consultants for two months

(estimated cost ^2400) to undertake studies on the ambulatory chemotherapy of

tuberculosis ； VD consultants for four months (estimated cost $4800) to study the

implications of penicillin sensitization which is becoming a growing problem； to

assist in the collection, analysis and. appraisal cf accumulating data relating

to the serology and laboratory aspects of the t reponematoses, and. to undertake

work in connexion with the international health regulations for venereal

1 Inclusive of salaries, consultants^ s and travel, and duty travel, but

exclusive of coinmon services costs, statutory staff costs, grants, contractual technical services arid, other forms of research co-ordination^ and other costs (study groups) shown on pages 59 and 60 cf Official Records ëë^a^^well^aa丄he factors relating to staff turnover and lapses and delays in effecting replacements’ (see page 52 of Official Records 66) which are applied to the estimates for Advisory Services on an overall basis。


diseases control which are expected to be finalized by the study group for which

provision is made in 1956• The amounts provided for these consultants had

been partly offset by decreases totalling 16000 in the amounts provided for

consultants in other fields.

3.2-2 It was also noted that as against the overall reduction of ¥)200 for

grants-in-aid under Advisory Services (Headquarters)糧 зее paragraph 3.1-1 above

a decrease of (.12 700 was reflected in the estimates relating to the Division o£

Communicable Diseases>arrived at as follows:

(i) Grant-iri'-aid to be eliminated in 1957

Serological Standardization

(ii) Grants-in-aid to be reduced

Virus and Rickettsial Diseases including influenza, yellow fever and smallpox Laboratory Studies (from бОСЮ to ,4500)

Plague: Co-ordination of International Research (frcm |2000 to Í1000)

Poliomyelitis Strain Typing Centres (from $15 200 to $5000)

(iii) Grants-in-aid to be increased

Bilharziasis Studies: Determination of Snail Vectors and Diagnostic Procedures (from laooo to $2000)

World Influenza Centre； Influenza Strain Typing and study of antigens (from 弥5500 to $6500) 一

(iv) New Grant-in-aid proposed

Vaccine Studies: Typhoid, Dried Smallpox etc.

$

4 000

1 500

1 000

10 200 16 700

1 000

1 000

2 000

Net decrease 12 700

ЕВ17/АГ/3 Rev.l page 53

Э»2.3 In considering the above net decrease in the provision for grants-in-aid

the Qiairman expressed the hope that the work now being pursued in poliomyelitis

research would not decrease and enquired whetlier the Director-General had considered

the possibility of making grants to a larger number of laboratories for research

in that field• In reply the Director-General assured the Committee that the pro-

posed reduced provision for policxnyelitis research would not involve a decrease

in the work done by laboratories, and recalled that the Eighth World Health

Assembly had expressed particular interest in the problem of poliomyelitis and

in the study of ir.imunity to that disease • The Assembly had decided to add in

I956 恭 1 2 200, available from reductions in sorne other items in the 1956 estimates,

to the ajnounts for poliomyelitis. The Director-Gene ral therefore allocated

this sum for additional grants to poliomyelitis research laboratories in order to

give impetus to their work. It was now expected -that 1957 should be a year of

consolidation and the laboratories were equipped to carry 011 with their work

with less assistance in grants from WHO in 1957-

3.2 ,4 In reply to a further question put by a member of the Committee as to

whether it was proposed to institute any enquiries с oncoming immunity to polio-

myelitis, the Director-General stated that it was not proposed to conduct a

general survey^ but to collect information from all possible sources which

would be communicated to the regional offices for the use of public health

authorities in the regions concerned. The laboratories receiving grants-in-

aid were, at present^ working on the typing of strains throughout the world and

on comparisons between various types of viruses. Although scientific knowledge

regarding polioiiiyelitis had vastly increased, many problems still remained ob-

scure and were difficult to solve because of a general lack of virologists even

in some of the more developed countries. It would, therefore， take tiïïB before

solutions could be found to the various problems now raised. To give the

Committee the most complete information available on the technical aspects of

the problem the Director-General, at the request of the Committee submitted a


detailed report on the position. Some discussion of this request took place

in the Comraittee tóiich decided that in view of the importance of the information

given, the report should be brought to the attention of the Executive Board and

be reproduced as an Executive Board document•

3»2#5 Noting that it was proposed that the grant-in-aid for influenza as part

of the virus and rickettsial diseases laboratory studios should be reduced

whilst it was proposed to increase the grant-in-aid to the World Influenza Centre#

a member sought an explanation. The Director-General replied that the increase

in the latter case was intended to cover salary increments for workers in the

Centre •

3#2#6 In reply* to a question put by the Chairman regarding the proposed new

grants for vaccine studies, the Director-General explained that they were for

further vaccine studies following the field trials in Yugoslavia because the

results so far obtained in that country had shown that ibrther research was

necessary.

3.2_7 In reply to a question as to whether the proposed studies of dried

smallpox vaccine would be confined to laboratories or would take the form of

field trials, the Dire ctor-Gener al stated that it was proposed to continue

studies on dried smallpox vaccine in 1957, particularly in the Madras area.

Laboratory studies had taken place in 1953 and 1954 and had been followed by

combined field and laboratory trials in 1955 which were to be pursued in.

1956 and 1957^ particularly in regions where smallpox was eixdemic.

3-2.8 Drawing attention to the table of grants-in-aid given on page 60 of

Official Records No. 66, the Chairinan expteased the view that the policy of

making grants-in-aid to research institutions was particularly useful, since

it enabled WHO to obtain at little cost the information it required from in-

stitutions that were already engaged in research on the problems involved.

Endorsing the Chairman 丨 s remarks, the Director-General pointed out that many


institutions and individuals undertook investigations stimulated by ЖО and. provided

extremely valuable information although not in receipt of grants from the Organization.

3.3 ORGANIZmON OF PUBLIC HEALTH SERVICES (Official Records No. 66, pp. 44-48 and 56-57) “

1956 1957 Difference • • ч т и Я II n i l • _ .1

Estimates1

|254 849 $257 647 |2 798

> Posts 28 29 1

ЗшЗЛ In considering the estimates relating to this Division^ the Committee

noted that the new post of clerk-stenographer in the Nutrition Section was the

only additional post in the Department proposed for 1957• The provision for this

post and for normal salary increments represented a gross increase of $7417 and this,

together with the net increase of $781 for duty travel, was largely offset by a net

decrease of $5400 in the provision for consultants equivalent to four and a half con-

sultant months • In particular the Committee noted that the largest increase for duty-

travel ($1630) was for the Public Health Administration Section where the 1957 provi-

sion ($4630) was intended to cover visits to certain regional offices in connexion

with field projects in public health administrati011 and dental health and for

\ attendance at specialized naetings.

3,3»2 Noting that provision had been included fór a study group on schizo-

phrenia, a member enquired why the group would study schizophrenia and not

also other mental disorders- In reply the Director-General drew attention

to the proposals as set out on page 47 of Official Records No# 66 indicating

1 Inclusive of salaries, consultants' fees and travel, and duty travel, but exclusive of coromon services costs，statutory staif costs, grants, contractual technical services and other forms of research co-ordination, and other costs (study-groups) shown on pages 59 and 60 of Official Records 66 as well as the factors relat-ing to staff turnover, and lapses and delays in effecting replacements and delays in filling new posts (seo page 52 of Official Records 66) which are applied to the esti-mates for Advisory Services (Headquarters) on ari overall basis.

SB17/AF/3 Rev.l “ page 56

that it was intended that the study group should review cwrent developments in

knowledge in all etiological aspects of schizophrenia to stimulate and co-ordinate

research on the subject. The new knowledge was sufficient to justify the convening

of a study group for exploratory purposes. The study group should be regarded as a

step in the development of the whole mental health programme of the Organization,

As to other aspects of the question it would be true to say that the programme of the

Organization included more or less permanently study groups on mental health, xíhich

had studied different aspects of the question at different times. In 1957 schizo-

phrenia was to be considered. In this connexion the Chairman of the Executive

Board remarked that the resources of WHO would never permit it to deal with the whole

of so wide a subject as mental health. It was proper that the Organization should

make provision for obtaining information that could not be obtained otherwise on a

particular aspect that was at present causing great concern to health administrations•

3.3.3 In reply to questions raised by the Chairman and other members of the Committee

as to the exact purpose of a study group and whether it submitted a report and

formulated recommendationsд the Director-General stated that the Executive Board would

have before it a document explaining the respective functions of expert committees,

study groups and other such bodies. That being so he suggested that the Committee

rrii^t wish to consider the matter again after the Board had dealt with that item of its

Agenda• The document would include a list of all the study groups that had been

convened since the inception of WHO.

3.3.4 Assuming that the document to be considered by the Executive Board would

give useful indications of the costs as well as the respective value of èxpert

committees and study groups, the Committee agreed that it wotild be best for the

Executive Board to study the document submitted to it and then refer to the Goinmittee

on any particular budgetary aspects on which it required assistance.


， Л ENVIRONMENTAL SANITATION (Official Records No, 66, pp. 43-49 and 58)

1956 195J7 Difference

Estimates1

$75 211 $88 206 $12 995

Posts 10 1П -

3.4 .I In considering the estimates for the Division of Environmental Sanitation,

the Committee noted that the provision included for consultants in 1957 totalled

$1斗 400 compared with $3600 for 1956, and that the increased provision was intended

to meet the costs of consultants for the purpose of (a) assisting in the collection

of data, advising on the use and applicability of the proposed international

standards for drinking water and methods of water analysis, and correlating the work

of national agencies and laboratories^ (b) studying present food sanitation practices

in South-East Asia and the Western Pacific, (c) investigating reported cases of

insect resistance, advising governments in countries where insect resistance has

been proved, and advising laboratories on co-ordinated programmes of research.

5.^.2 The Committee further noted that apart from an increase of $1675 for salary

increments the amount proposed for duty travel represented an increase from $ 8 8 杯 0

for 1956 to $93бО for 1957, and that the provision was intended to allow close

contact with regional offices and field projects, particularly in relation to the

development of long-term programmes.

It was noted that an increase of $2000 was proposed in the Grant-in-Aid for

Insecticide Studies (from $1000 to $3000).

3.4.4 Further information was supplied, at the request of а юшЬег, on dates and

places of previous expert committees on insecticides and any seminars or conferences

on the same subject (Appendix 24, EB17/AF/VP/25).


fees and travel, and duty travel, but exclusive of commcn services costs, statutory staff costs, grants, contractual technical services and other forms of research co-ordination, and other costs (study groups) shewn on pages 59 and 60 of Official^Records 66, as well as the factors relating to staff turnover, and lapses and delays in effecting replacements (see page 52 of Official^ Reсorós 66) which are applied to the estimates for Advisory Services on an everaïï basis.


3.5 EDUCATION AND TRAINING SERVICES (Official Records No. 66, pp. 49-50 and 58-59)

1956 1957 ， D e c r e a s e

Estimates1

$9;

+ 067 $91 132 $2 935

Posts 12 12 -

3.5.1 In noting that the estimates for- this Division showed a decrease of $2935

as compared with the amount provided for 1956, the Committee was informed that this

decrease resulted mainly from the fact that it was proposed to suppress the existing

post of medical officer P.4 and establish instead a post of technical assistant P.l.

In this connexion the Director-General explained, in reply to a question put by a

member of the Committee, that it was proposed to discontinue the post of the medical

officer because the wjrk now to be performed mostly involves the collection and

arrangement of data which could be done by a technical assistant, P.l, under the

supervision of the chief of the section. The technical assistant^ functions would

also involve the editing of data and the drafting of reports and documents and could

be performed by a person without medical qualification.

； 5 . 5 - 2 With regard to the proposed increase in the amount of the Grant-in-Aid for

the Exchange of Scientific Workers (from $1500 in 1956 to $5000 in 1957) the Chairman

enquired whether the provision was for actual exchanges or for meetings of study

groups. In reply the Director-General explained that the proposed expenditure was

for an exchange of research workers similar to the following three projects under-

taken in the past. The first project concerned trachoma and was aimed-at^regolxing

differences arising from conflicting schools cf thought• krx.exchange of visits had

taken place between Professor Mitsui of JaparuarKbí^ílaasor Nataf of Tunis, who had

been able to give demonstrationa^-of irbreir work to each other. The results of that


fees and travel, and duty travel, but exclusive of common services cnsts, statutory staff costs；； grant s, contractual technical services and other forms of research co-ordination, and other costs (study groups) shown on pages 59 and 60 of Official Records 66, as well as the factors relating to staff turnover, lapses and delays in effecting replacements (see page 52 of Official Hecords^ 66) which are applied to the estimates for Advisory Services on an overall basis.

EB17/AF/3 RevVI page 59

exchange had been reported to MHO and would be submitted to the next Expert

Committee on Trachoma, The second project concerned relapsing fever and had involved

an exchange of research workers between the Pasteur Institute of Tunis and the

Pasteur Institute in Addis Ababa. The field investigation which took place proved

the correctness of the theory held by the Pasteur Institute of Tunis concerning the

existence of a large reservoir of that disease in Ethiopia, Thirdly^ it had been

arranged to exchange visits of research workers from French West Africa, the Union of

South Africa and Mozambique on the problem of cancer of the liver in Africa.

5.5.3 Noting the proposed provision for a study group on physiology, a member enquired

as to why this subject had been chosen among all other subjects as an introduction

to preventive medicine, as indicated in the narrative description of the study group,

ar^ also whether the project was part of a long-term plan for a review of the whole

question of the teaching of preventive medicine. In reply the Director-General

stated that the purpose of the long-term programme was to encourage emphasis ou the

social and public health aspects of medicine at all stages of medical teaching^ but

particularly at the pre-clinical stage, so as to arouse interest among medical students

at the beginning of their studies. There had been much discussion of which subject

should be taught from the'point of view of preventive medicine at the beginning of the

medical curriculum, and* several experts' agreed that physiology was a promising subject，

ïïo physiological textbooks orientated towards preventive medicine yet existed and

physiology was nowhere taught on those lines. Mahy physiologists were interested

in studying the question of how the teaching of physiology could be modified in the

desired direction»

•‘


Л. REGIONAL OFFICIES AMD PIELD ACTIVITIES

(Official Heoords No, 66, pp# 79-363 and 366-384)'

Regional Offices

Estimates (net)

Posts

Field activities

Estimates

Posts

1956 1957 Increase , Without Provision in WithouT With . Supplement Supplement• Supplement Supplement

434 448 497 388 >30 000 ^62 94O ^92 94O

199 214 - 15 15

m 367 408 W5 278 210 4Ó7 780 钵910 802 378 疾82

359 374 55 15 70

4.1 Noting that the estimates relating to Field activities represented increases

over those approved for 1956 amounting to 802 (without the supplement) or

{¿2 378 582 (with the supplement); the Chairman stated that it was difficult for the

Committee to analyse in great detail the individual regional programmes but members

were of course aware that they had been scrutinized by the regional committees#

All the programmes were designed to strengthen national health services and in

particular to assist щ, government during the period when they were training staff

and mobilizing resources. • He believed that members would find it useful to have

a table similar to that submitted the previous year showing terminated, continuing

and planned projects# Projects amounting to nearly one million dollars had ended

in 1954 and he presumed that the figure in 1955 would be more or less of the same

order«

EB17/AF/3 Rev.l pige 62

4*2 In order to meet the request of the Committee to have information on projects

terminated and initiated in 1955； the Directpr-(r©neral presented the statement

incorporated in Appendix 25(EB17/AP/WP7/Addal),

4,3 During the opening discussions a member expressed satisfaction that the

iitçortance of area representatives in the Western Pacific Region had been recognized

in the proposal to establish ал additional post in 1957. The Committee also noted

that, besides the Area Representative and a clerk-stenographer provision had been

included for three new posts of Regional Adviser together with secretarial

assistance, as follows :

Africa

South-East Asia

Europe

1 Regional Mviser in Health Education of the Public

1 Regional Adviser in Education and Training 1 Clerk—Stenographer

1 Regional Health Officer in Education and Training 1 Secretary

4,4 In reply to questions the Director-General stated that WHO did not for the

timo being offer permanent contracts to its staff but only fixed-term ones and that

this applied equally to regional advisers• He pointed out that provision for

Regional Advisers was made under the appropriation Section for "Advisory Services"

and not in the estimates for Regional Offices•

4» 5 A member enquired as to whether WHO had laid dô"wn any general rules about the

minimum staff requirements and functions of regional offices• In reply the Director^

General explained that it had been decided to give a composite account of the ‘general

functions and responsibilities of regional offices showing the pattern of their


evolution ©дс! structure although there were variations in order to meet particular

problems of each area. That statement was to be found on page 84 of Official Records

Noe 66* In this connexion he reminded the Committee that the structure of regional

offices had been examined by the Board at the Eleventh Session in connexion with

its study on regionalization.

4,6 In the course of its general review of the field programmes the C©mmittee

noted, inter alia, that the total net amounts provided for 1957, i«©« 9 Ю 9^8 633

without the supplement and 43é 413 with the supplement; represented increases

amounting to 砵 8 2 1 129 a n d

秣2

288 9〇9 respectively as compared with 1956« In this

connexion the Coinmittee also noted that the Regional Office estimates for 1957

totalled itpl 497 388 without the supplement and 527 388 with the supplement,

representing increases amounting to Цб2 Ç40 and >92 940 compared with 195é; and

that the total increase in staff of Regional Offices amounted to 15。 The Committee

recognized however that a certain number of post^ may be established against the

contingency provision of ^30 000 included for the Regional Office for Europe in the

supplement but that it was not possible to determine at present the number of posts

involved•

467 To assist in its consideration of the regional programmes in detail^ the

Committee invited tho Regional Directors to provide an outline of the proposals

relating to their respective regions.

EB17/AF/3 Rev.l page 64

4.8 AFRICA (Official Records No. 66,

‘ 1956

Regional Office

Estimates*1

"

Number of posts

Field Activities

2

Estimates

Number of posts

1238 455

30

$369 Oil

29

pp. 85-130 and 369-371)

1957 Increase Without Provision in Without With

Supplement Supplement Supplement Supplement

$242 287 - #3 832 $3 832

31 1 1

1540 384 $265 736 鈦71 373 $437 109

37 15 8 23

4.8.1 The Regional Director dre对 attention to the fact that, in spite of the

programme developments planned at the regional office level in 1957, its staff of

thirty was to be augmented by only one supply clerk. One additional regional

adviser in health education of the public was to be appointed in 1957. For the

years 1955-57， there were to be two area public health officers. Although the region

3

•was divided into four areas, the central zone came directly under the regional office,

and the area public health officer for the eastern zone with headquarters at Nairobi ^

also served as public health officer for the southern zone, with the aid of the

The figures represent gross amounts shown in summary (page 100 of Official Records No. 66), which exclude the factors relating to staff turnover, lapses in effecting replacements and delays in filling new posts, applied on an overall basis (page 79 of Official Records No. 66)•

2 The figures represent gross amounts shown in summary (page 100 of Official

Records No# 66)} which exclude the factors relating to staff turnover, lapses in

effecting replacements and delays in filling new posts, applied on an overall basis (page 83 of Official Records No. 66)•

3 See map in Official Records No» 61， p. 116.


western zone was located in Lagos. The proposed allocation for field activities

including individual fellowships was $806 120 (with the supplement) compared "with

Oil in 1956. The following analysis vas given, based on the comparison between

1956 and 1957 (including the supplement)• The total number of fellowships which

would be provided for through the regional office in 1957 "would be 87 which is more : :

than double the number in 1956. Although the number of projects did not in fact

provide a measure of the volume of тогк^ in 1956 they had totalled 69 whereas for

1957 requests have been received for 87 country projects， the respective figures for

inter-country projects for those t*wo years iwere five and fifteen. Account had been

taken in the estimates of the transfer of the Regional Office in 1956 to a building

8 kilometres outside Brazzaville provided by the French Government. The move had

originally been planned to take place in 1955 but had been postponed, and it was

expected to be accomplished on 1 July 1956^ . There was some reduction in the item

"Acquisition of Capital Assets" in the estimates, for the Regional Office because of

the larger provision included in 1956 to meet the non-recurrent costs of equipment

required at the time of the move of the office• » ' » '.

4,8.2 Describing how the budget was drawn up the Regional Director stated that

projects were first discussed by the office staff and national health authorities,

and then examined in the office itself in the light of their relative urgency and

the readiness of governments to take them over once Ш0 had withdrawn its staff.

"During the annual session of the Regional Committee each delegation was informed

of the reasons for including projects in the estimates under different funds. The

budget as a whole was then discussed in full Committee. The Regional Office was

continuing to co-operate with various international organizations, such as UNICEF, FAO,


Commission for Technical Co-operation in Africa, and International Co-operation

Administration. The estimates bore witness to the progress being made in WHO t s

work in Africa and to the growing interest of governments in it? 、o which recent

conferences at the end of 1955 on yaws梦 malaria and environmental sanitation were

likely to have made a significant contribution. The Regional Director anticipated

a further expansion in the work0

The Chairшал requested information as to the composition of the staff in

the area offices, the functions of the Area Public Health Officers у and enquired

whether it was considered advisable that Regional Advisers be stationed at the

Regional Office, In reply the Regional Director stated that the staff of area

offices consisted of one Public Health Officer with a driver andf if necessary^ a

secretaryс The Public Health Officer served as a link between the Regional Officer

the government and workers in the field。 Regional Advisers are based at the

Regional Office but have to travel a great deal in order to establish and maintain

the necessary contact with public health administrations for planning projects e

4番8參4 In reply to questions raised by a member} the Regional Director explained

that several regional advisers in public health administration had proved necessary

because the Regional Office covered directly only one of the four zones into which

this extensive Region was dividede Further, the number of requests from governinents

for projects in the field of public health administration was increasing? as was

clear from the estimates given in the summary table on page 100 of Official Records

No» 66p It was necessary also to ensure that the Regional Office remained adequately

staffed during periods of staff leave and duty travels The reduction in the

estimates for inter-country programmes resulted mainly from the faot that it was


considered undesirable to arrange too many inter-regional conferences in a single

year, despite the inmortalice to individual countries of the subjects involved*

Another reason was that certain projects p as for exanple^ the campaign against

malaria in the French Cameroons and in French West “frica, now appeared under the

country programmes•

4.8.5 In the course of its examination of the estimates for the Regional Office

and for field activities; the Committee noted that the cost estimates for the

Regional Office represented a net increase of 832 and that the increases in

respect of personal services and allowances l/J 834, duty travel and. statutory

travel {

4б 290 were largely offset by reductions amounting to $11 282

mainly in respect of coimncn services (including the acquisition of capital assets)

as explained by the Regional Director,

4_8*6 As regards the field programmes, the Committee noted that the gross estimates

reflected increases amounting to〔Д71 373 without the supplement and J*i437 109 with the

suppléant as compared with the cotresponding provisions for 1956, In this connexion

the Committee also noted that, inclusive of the supplement^ the estimates relating

to field activités (exclusive of the costs for Regional" Advisers and Area Public

Health Officers) provided for continuing projects estimated to cost ^159 789, for

individual fellowships constituting projects in themselves ^197 700 and for new

projects ^255 3 3 5 臀 The Committee further noted that the corresponding estimates

for individual fellowships and new projectsr without the supplement

> amounted to

#92 700 and ^94 599 respectively#

EP17/AF/3 page 68

Rev.l

Field Activities “Estimates?""“ Number of Posts

ВС： 530 52

922 594 51

235 298 10

117 064 ( D

Ц 1 The Regional Director for the Americas reminded the Committee that the

•Deputy Regional Directorд in his statemexit to the Committee last year, had

referred to the three-fold mandate of the directing Council of the Pan American

Sanitary Organization, namely to assist in the development of national health

programmes, to assist in training personnel and to co-ordinate campaigns against

communicable diseases. He had on that

area programmes in such countries as El

beins 二 & to assist in the training of

qccasion referred to health demonstration

Salvador^ Paraguay, as well as the efforts

nurses, to improve environmental sani-

tation and to eradicate Aëdes aegypti, yaws and malaria. Generally s peaking^

•there had been no fundamental change in the orientation of the work during the

past year, but he would like to give some indica七ion of how it differed in some

respects from the work of other regions. In the first place, most countries

made a double contribution to international health programmes in the Americas,

1 /

The figures represent gross amounts shown in summary (page 149 of Official Records No. 66)， which exclude the factors relating to staff turnover, lapses in effecting replacements and delays in filling new posts， applied on an overall basis (page 79 of Official Records No, 66),

2 —

The figures represent gross amounts shoi^ in summary (page 149 of Official Records No- 66), which exclude the factors relating to staff turnover^ lapses in effecting replacements and delays in filling new posts, and delays in imple-mentation of new projects, applied on ал overall basis (page 83 of. Official Records No- 66).

4,9 THE AMERICAS (Official Records No. ЬЬ，pp. 131-181 and 371-373)

Regional Office ~Estimates丄 N’omber of Posts

1956

371 166 41

1957 Increase Without ~Provision In Without With Supplement Supplement Supplement Supplement

378 086 41

w

6 920 6 920

352 362 9


since all, except Colombia which did not contribute to WHO and Canada which did

not contribute to PASO. In addition, PASO had other sources of regular income¿

for example, a foot-and mouth disease centre w〔s being financed from funds pro-

vided by the Organization of American States, and six countries were providing

$75 000 a year for the Institute of Nutrition of Central America and Panama.

PASO was also in receipt of funds from other sources which were included in tho

amounts shown under "Other Extra-Budgetary Funds"• PASO has, therefore, been

able to take 'independent action on a number of regional problems• PASO had

established its own zone offices before the Regional Office of WHO had been sot

up, and the process of decsntralization was much further advanced in the

Americas than in other regions• With respect to inter-regLonal programmes the

Institute of Nutrition of Central America and Panama, which had begun operating

in 1949， offered an illuminating example of collaboration among small countries•

The centre for foot-and-mouth disease was essentially concerned with research

and teachings In the malaria eradication programmes for Central America,

Panama and the Caribbean^ single health advisers were being used- A tripartite

agreement on a country-wide malaria eradication programme in Mexico had just

been signed between the Goverrmient, WHO and UNICEF. Now that a programme for

the eradication of Aëdea aegypti had been launched in Argentina^ there were only

two countries in tho Region which had nab yet done so. It was felt that

health authorities were showing increasing interest in the possibilities of

international health organizations in co-ordinating the activities of differont

countries. Before concluding, he wished to draw attention to the fact that

the building in which PASB was at present housed in Washington was not suitable

for permanent occupation, and it was hoped during the coming 5 or 10 years to

erect a new building, for ^lich purpose the directing Council had at its last

meeting in September set aside a sum of |100 000 as an initial deposit for tho

building fund.


4,9.2 The CHAIRMAN enquired how far the project for the eradication of yaws

in Haiti had progressed. In reply the •Regional Director said that recent

surveys had revealed that the point had been reached at which the incidence

of yaws was not more than 0^5 per cent. The country had been divided into

zones for the purpose of ascertaining what cases of yaws remained and for

providing treatment in those cases. It was expected that if the present

rate of progress, was maintained the cost of the project^ which was borne

partly by WHO and partly tjr PASO would decrease progressively, and in 1957

only two medical officers would be required for the project- It was thought

that the good results were due to the employment of tho house-to-house

methods

Ц З Remarking that, as had been poirioed out by the Regional Director, WHO

was particularly active in the Region of ,the Americas, because of the large

extra-budgetary funds made available to it for that Rsgion，a member recalled

that the Standing Committee had on previous occasions discussed the question

of whether the zone offices were really desirable. The experience gained

for example in Martinique^ Guadeloupe and French Guiana has shown that those

offices provided valuable services and that they were necessary in such a

large region. The same member also had noted that among the inter—country

programmes implemented by WHO in the Аггвricas a number related to subjects，

such as malaria eradication, for which there were also individual country

projects, He; therefore^ would like to know тк/hat were the criteria for

deciding whether ouch projects should be inter-country or individual country

projectsл He a]sо would welcome information concerning the part being

played by WHO in the joint field mission on indigenous population^ in the

Andes9

4,9-4 In reply the Regional Director said that there were no fixed rules

for deciding whether projects should be inter-country or individual country

projects• The approach to the subject was empiric * Whether a project was

EB17/AF/3 Rev page 71

an inter-country one or not depended in some instances on past history. For

exampleд there were various non-technical factors which in some cases stood

in the way of arranging inter-country programmes, but inainly it was a matter,

of convenience. Inter-country programmes were often particularly convenient

where countries of Central America and the territories in the Caribbean were

concerned. In cases of inter-country projects relating to matters of common

interest to neighbouring countries, a great saving was possible. The joint

field mission on indigenous populations in the Andes had been initiated by

the International Labour Organisation. UNESCO and UNTAA also participated

in the project and "WHO was responsible for the health aspects,

4,9*5 In reply to question put by the Chairman the Regional Director said • • • . ' . . ‘ ‘ .

that no difficulties had been experienced in persuading governments to continué

inter-country projects launched by WHO. The Organization^ functions were

of an advisory nature and did not include work which should be done by govern^

ments. In the case of eradication projects, after WHO had completed its pro-

gramme there should be no work other than surveillance to be continued by

governments •

4*9*6 In reply to a question put by a member the Regional Director said that,

in the case of inter-country programmes an agreement was signed with each of . . .! ‘ • V . . . . .

the governments Concerned, In this connexion reference was made to the manner

in whidi the Institute of Nxttrition of Central America and Panama had Ъееп set

up and was being financed. In 1946 the six countries directly concerned had

signed a three years1

agreement with the Kellogg Foundation. The Institute

had come into being, three years later at a time when only three countries had .

made contributions for it. The agreement had been renewed two or three times

and two of the countries had volunteered to increase their contribution by

approximately 50 per cent, if the other four countries did so also. At prosent^

the contributions of the six countries to the Institute amounted to more than

their combinod contributions to WHO and the Рад American Sanitary Organization, A

governing body had bo en set up composed of representatives of the six countries^

� 7 / A F / 3 RevJ. page 72 •

tho Pan American Sanitary Bureau and the Kellogg Foundation. This illustrated

that international health programmes could be carried out witiiout any loss of

national sovereignty^.

4^9-7 A raembor asked, where the Regional Centre for Poliomyelitis was located

and Aether provision had been made, not only for research work on the virus

and other activities, but also for providing small countries in the Region

with supplies of the vaccines« In reply the Regional Director said that

tho Centre was run by Dr Paul of Yale University. In view of recent develop-

ments regarding vaccination against poliomyelitis9 it had .been agreed to make

provision in the estimates for training personnel to prepare tho vaccine and

other technical matters- In regard to tho provision of supplies, it was

difficult to give a definite answer, because tho position was still obscure•

The Regional Office had established a system of supplying yeU.ow fever

vaccine to counti^ies which needed it. He was certain that when the time

came the office would be able, through its supply office, to pur cálase polio-

myelitis vaccine for countries which asked for it»

In examining the estimates, the Committee noted that those for the

Regional Office reprosented a net increase of §6920 relating mainly to statu- •

tory increments•

4,9-9 As regards the field activities, the Cornmittee .noted that tte gross

estimates reflected increases amounting %o $117 064 without the supplement

and © 5 2 362 with the supplement as compared with the corresponding provisions

for 1956. Tho CoirarrLttee also noted that，xdth the supplement9 these esti«

mates (exclusive of the costs for Regional Advisers and Zone Offices) provided

for continuing projects estimated to cost $573 245, for individual fellowships

constituting projects in themselves $50 550 and for new projects $298 868•

The Committee further noted that the corresponding estimates for individual

fellowships and nex^ projects, without the supplement9 amounted to $50 550 and

$63 570 respectively^


4.10 SOUTH-EAST ASIA (Official Records No. 66, pp. 182-229 and 373-374)

Regional Office

Estimates"'" Number of Posts

Field Activities

Estimates Number of Posts

1956

$

175 711 • 37

1 002 854 110

1957 Without Provision in Supplement "Supplement

I f nail • II ___ *於•梦‘*——•丨丨•丨••’ $ $

179 306 -37 -

Increase Without I J i t h Supplement Supplement

$ Ф

1 094 479

104

102 184 7

3 595

91 625 (6)

3 595

193 809

4.10,1 After referring to the increases proposed for the Regional Office and for

field activities in the South-East Asia Region under the Regular Budget, the

Regional Director drew attention to the proposed programme and estimated

expenditure under Technical Assistance funds as set out in the budget document.

He stated also that WHO received extra-budgetary funds for the Region, mainly from

UNICEF, amounting to between 2-1/2 and 3 million dollars a year so that a total

of between 5 and 6 million dollars a year were spent for health activities in the

Region. There was very 1 ..ttle change in the cost or pattern of the staff of the

Regional Office, In the 1956 programme very few new projects had been included

because of the large amount of money required for continuing projects. However,

provision had been made in 1957 for a number b£ new projects, including in

particular， projects for the strengthening of public-health services. Special

efforts were being made to ensure that individual projects could become an integral

part of general health programmes within a reasonable period. It was hoped to

make further progress vdth malaria control projects in 1957， but there was

scarcely any hope of carrying out an eradication programme on a region-wide scale

during 1957. However， there was a possibility that eradication projects might be

The figures represent gross amounts shown in summary on pago 205 of Official Records No. 66， which exclude the factors relating to staff turnover, lapses in effecting replacements and delays in filling new posts, applied on an overall basis (paga 79 of Off. Rec, ¥Id Hlth Org. 6o)

2 " " " " " " " 一

The figures represent gross amounts shown in summary on page 2ü5‘of Official Records No, 66 which exclude the factors relating to staff turnover, lapses in effecting repiacements and delays in filling new posts, and delays in implementation of new projects, applied on an o erall basis (page 83 of Off. Rec. I'lld KLth Org. 66).


begun in Ceylon and. Thailand, In regard to tuberculosis, it was planned to concentrate

on experimenting with new drugs, in view of the low standards of living in the Region

which made it impossible to depend much on other methods of controlling ТВ such as

improved housing and nutrition. With the help of the Pasteur 工 n s t i t u t e , some

interesting field investigations had been made into plague infection, and it was

hoped that the result of such investigations in India would throw new light on the

problem. The mass campaigns against yaws had nearly reached the stage at which they

could be made an integral part of national public health programmes•

4.10.2 With regard to the inter-country programmes the Regional Director drew the

attention of the Committee to the various projects described on pages 203 and 204

of Official Records No. 66, and gave further information explaining their importance•

4.1Ü.3 The Regional Director finally stated that the Regional Committee had been

informed of the views expressed by the Standing Committee last year on the examination

by regional committees of the regional estimates. It had made a more thorough

examination of individual country projects, and had in fact made certain alterations

to the regional programme»

4.10.4 In the course of its review, the Committee noted that the cost estimates

for the Regional Office represented a net increase of $3595 mairüy for statutory

increases• ,

4.10.5 As regards field activities, the Committee noted that the gross estimates

reflected increases amounting to $91 625 "without the supplement and §193 809 with

the supplement as con^ared "with the corresponding provisions for 1956# The

Committee also noted that, with the supplement, these estimates (exclusive of the

costs for Regional Advisers and Area Representatives) provided for continuing

projects estimated to cost $587 465^ for individual fellowships constituting

projects in themselves |27 360 and for new projects $264 331# The Committee

further noted that the corresponding estimates for individual fellowships and

new projects, without the supplement, amounted to $9810 and $179 697 respectivelyл


4.11 EÜR9PE (Official Recorda No» 66, pp. 236-271, 374-378 and 384)

Ш. Increase Without Provision in Without Supplement Supplement Supplement

Regional Office

Estimatee^

Number of Posts

Field Aetivitie8

Ss tima tes'

Number of Posts

2

181 890

24

468 207

15

218 776

35

516 512

17

!ii>

30 000

4é4 473

1

V

36 886

11

48 305

2

With Supplement

'4

66 88^

11

5 1 2 1 7 7 8

4%11.X The Regional Director stated that two sucoessive general programmes had

been drawn up for Europe within the framework of WHO'S general programme of work.

The second general programme for the European Region had been adopted by the Regional

Committee at its last session* The Regional Director referring to the procedure

for drawing up the programme and budget estimates for the European Region stated

that, at the present stage there were several projects which could not be couçleted

within a year and had to be given priority in the years after that in which they

were begun. The 1957 programme and budget estimates for the Region had been the

subject of consultations with governments in January 1955, immediately after the

programme and budget estimates for 1956 hád been discussed by the Board. In

June 1955 the preliminary draft programme for 1957 had been distributed to the

The figures represent gross amounts shown in summary on page 243-of Officiai Records No. 66, which exclude the factors relating to staff turnover, lapses in effecting replacements and delays in filling new posts, applied on an overall basis (page 79 of uîf, Rec, Wld Щ-th Org. 66)•

2 The figures represent gross amounts shown in summary on pago 243 of Ufficial

Records No, 66, which exolude the factora relating to staff turnovery lapses in

effecting replacements and delays In filling new ppsts, and delays in implementation of new projects, applied on an overall basis (page 83 of Off. Roc

t Wld Hlth Org. 66),


• � governments concerned； it had been discussed Ъу the Regional"Сonimittee at its

last session. The Regional Committee scrutinized the programme and recommended

any changes js it considered appropriate. It also indicated the priorities as • 一 regards the additional projects referred to it for consideration, *

红 . 1 1 . 2 The Eighth World Health Assembly had approved some $210 000 for the

European Regional Office for 1956 on the anticipation that it would move to Copenhagen

in that year. That amount had now been reduced to $l8l 890 as the removal of the

office to Copenhagen was now anticipated to take place in the early part of 1957

when the building under construction was scheduled to be completed. The reasons

why the 1956 estimated costs, as shown in Official Records No, 66， were somevhat . • *

higher than the savings which would accrue in that year resulting from the transfer

of the office being postponed, was that provision had been made in 1956 for the

acquisition of most of the equipment needed. Consequently the estimates for this

item in the 1957 budget reflected a substantial reduction. Provision had been

made in the 1957 estimates of a total increase in staff of 11 posts of which all

but three' came within the general services category. , Provision had also been made

for one additional regional health officer in the field of education and training

which had become necessary in view of the fact that the European Region was largely

used as a training area for fellows coming from other, parts of the world• In

fact 62 pér cent, of the total number of countries visited by WHO fellows were in

Europe、

t-

^.11.3 The general picture of the proposed field activities in the European Region

for 1957 could be obtained from the summary on page 2^3 of Official Records No. 66.

This summary showed that the proposed activities were fairly evenly distributed

amongst the various health subjects and that emphasis had been placed on public

health administration， social and occupational health, mental health and environmental

sanitation. The programme under Technical Assistance funds was particularly

directed to the control of communicable diseases and the largest single item related

to the control of enâemo-epiâemiс diseases.


4,11,4 No atteint had been made to distribute the fellowships for 1957 amongst

the different health fields because that was not practicable at the present stage.

Fellowships were therefore included under the subject heading of "Other Projects"

for most countries as one item, the field of study being unidentified. However;

past experience showed that up to one-third of the fellowships granted had been for the

study of communicable diseases,

4Д1.5 As the summary on page 243 showed, the total of the supplement was 473*

Of that amount 1 214 473 had been proposed for specific country and inter-country

projects and the remaining ^250 000 constituted a contingency provision to meet the

possibility of presently "inactive" members resuming full participation in the work

of the Organization, This contingency had been arrived at by taking account of

new country programmes which might b© requested by these members and also their

participation in inter«country programmes for which provision already existed as

well as for any new inter-coiintry programmes specifically required for that group

of members# Once these members started to play an active part in the Organization's

work the particular activities for which assistance may be requested by them would

become subject to negotiation with those members0

4.11.6 The Regional Director also stated that while at the previous session he had

expressed regret at a reduction in inter-country projects for 1956 he was now satisfied

that the analysis of the budget for field activities for the years 1955-1957 revealed

a more favourable situation and that the percentage for these inter-country activities

had reached a more appropriate proportion of the total field, activities for the region.

The percentage of inter-country programes to the totùl field programme now ^eprucent^d

Pcmghly-60 рзг cent.

4tll«7 The СЬа1гшал pointed out that the Regional Director had not mentioned the

«

contingency provision of ^30 000 for the Regional Office itself0 In his reply the

Regional Director stated that that provision had been mad© because if the field

activities included in the supplement were to be implemented it would be necessary

to strengthen the staff of the Regional Office« It was difficult to determine

what units of the Office would have to be strengthened； but there seemed to be no

doubt that the Fellowships unit was one of them6


^•11,8 In reply to a question put by a member, the Regional Director said it was

true that thç presently “inactive" members could not have been consulted about the

contingency provisions, but very careful consideration had been given in determining

the amount to be proposed as contingencies. The figures of $250 000 and $30 000

were based on experience taking into account the services which these members

received both during the Interim Commission of WHO and during the period when they

were actively participating in the work of the Organization itself• It had also

been assumed that the programme of services to these members would not be on a full

scale by 1957.

U.11^9 Recalling that a member of the Committee had previously inquired as to why

the designation "Regional Adviser" was used in the other regions, while in the

European Region the term "Regional Health Officer” was used, the Regional Director

stated that at the first session of the Regional Committee for Europe in 1951 there

had been an objection t， the use of the term "Adviser", having regard to the

particular role of such officers in Europe, and consequently the term "Regional

Health Officer".had been accepted by the Regional Committee and used ever since,

^.11.10 In reviewing the estimates for the Regional Office the Committee noted

that they represented an increase of $36 886 apart from the supplement of 130 000,

and that the increases in respect of personal services and allowances of $ 2 6 7 9 1 ，

duty travel $700 and statutory travel $23 175 were partly offset by reductions

amounting to approximately $13 780 mainly in respect of common services (including

the acquisition of capital assets) as explained by the Regional Director.

^•11.11 As regards field activities, the Committee noted that the gross estimates

reflected increases amounting to $48 305 without the supplement and $512 778 with

the supplement as compared with the .coiresponding provisions for 1956. The Commi1:t.ee

also-noted that, inclusive of the supplement, the estimates relating to field

activities (exclusive of the costs of Regional‘Health Officers) provided for «

continuing projects estimated to cost 550, for individual fellowships constituting

projects in themselves $22紅 800 and for new projects $571 673. The Committee

further noted that the corresponding estimates for individual fellowships and new

projects， without the supplement, amounted to $179 200 and $152 800 respectively.

EB17/AF/3 page 79

4.12 EASTERN MEDITERRANEAN (Official Records No. 66, pp. 272-317 and 578-380)

1956 1957 Increase

Regional Office

Estimates

Number of posts

Field Activities

Estimates^

Number of posts

Without Provision in Without

Supplement Supplement Supplement $ $ $

217 591

830 482

90

229 911

У1

1 102 226

9)

y¿l

21

12 520

271 7枓

3

With Supplement

$

12 ^20

617 О71 24

斗 . 1 2 . 1 The Regional Director informed the Comraittee that there were no striking

changes in the budget proposals for 1957, since the Programme was a continuation of

the work already begun. However, as new requests for assistance continued to be

received from governments, the proposed Budget for 1957 included a number of new

projects which showed certain gradual trends. An analysis of the new projects showed

that countries with well-developed and well-established systems of health administra-

tion tended to be interested in new types of projects, whereas the lesser-developed

countries with comparatively new health services were asking for assistance in the old

and well-tried pattern. The majority of countries increasingly understood the value

of the aid which could be given by the Organization in the fundamental development of

their health services, especially by educátion and training of various types of health

workers； that was clearly shown in the increasing number of requests for additional

assistance in the field of education. On the other hand, some of the countries with

The figures represent gross amounts shown in summary (Off. Reo. Wld Hlth. Org. 66, O 、 w h i c h exclude the factors relating to staff turnover, lapses in effecting

replacements and delays in filling new posts, applied on an overall basis (Off. Rec. Wld Hlth Org. 66, 79)

2 The figures represent gross amounts shown in summary (Off. Rec. Wld Hlth

Org. 66, 290), which exclude the factors relating to staff turnover, lapses in effecting replacements and delays in filling new posts, and delays in implementation of new projects, applied on an overall basis (Off. Rec, Wld Hlth Org. 66/ 8))


lesser-developed health administrations, which were faced with the necessity of

satisfying the urgent health needs of their peoples, had requested the Organization

to establish and operate services on their behalf. Such requests varied from the

establishment of a complete urban health centre in a town where only hospital

facilities had so far been available to requests that the Organization establish and

operate training centres for varying types of auxiliary health workers. Experience

had shown that such projects not only gained the immediate support of the people so

benefited, but also that they stimulated the governments of those countries to employ

additional foreign staff where national personnel were not available to continue» and

expand the services established by the Organization.

4.12.2 The study of the Budget for 1957 showed that control of communicable diseases

still retained a high priority in the Regional Programme, and demonstration and field

projects for that purpose would certainly be required for some considerable time to

come, in fact, the demand for that type of project might increase as more trained

staff became available and was able to benefit from demonstrations. Two interesting

trends could be noted in the field of malaria. First of all, it was believed

technically possible to organize the eradication of malaria in the block of countries

extending from the Mediterranean and confined by the Black and Caspian Seas and

mountain ranges in the north, and the Syrian Desert, the Arabian Gulf and Indian

Ocean in the soutt^ It was proposed to provide through inter-country programmes,

certain supporting services in the eradication of malaria, including a technical

meeting for country experts, a special training course for malaria-control staff and

additional technical staff to assist the regional adviser in carrying out his duties.

The other interesting development was the malaria-control work on a pilot scale in

the countries of the north-eastern section of the African Continent.

4.12.3 Another trend in the Region was the increasing development of provincial and • . • .... . ： .•、.•::‘:. .

rural health services for which the Organization had been requested by a number of

countries to provide advice and assistance, and also to set up demonstration units.

Those demonstration units had a dual function. In the first place, they aimed at .

assisting governments .in evolving a satisfactory pattern for a provincial health

administration, and in the second place they aimed at the establishment of rural


health units providing total health service for an area. As the development of health

services proceeded further in the Region, some countries requested increasing aid in

connexion with important health services where expansion had been lagging, including

school health services, nutritional services, social and occupational services, dental

health, geriatrics and health education of the public.

4•12.4 To sum up, the primary emphasis in the Region was on "education". There

was also a trend towards increasing the number of inter-country projects; the use of

seminars, study groups and ad hoc inter-country training courses was likely to show a

steady increase. The Committee would also note that it was proposed to include special

consultants in a number of fields in order to advise and assist countries in the

development of their public-health administration

4.12.5 In response to a request for information concerning the Fundamental

Education Centre in Lebanon, the Regional Director stated that it was a UNESCO project

to train national workers in the essentials of education calculated to advance the

standard of living in rural areas. WHO provided a Public-Health Adviser and Health

Educator for that Centre but was not responsible for its administration.

4.12.6 Indicating that his country was particularly interested in the training of

auxiliary personnel and medical assistants, a member stated that no generally accepted

definition of auxiliaries and assistants had yet been worked out so that it was

practically impossible to assess their degree of competence. The Regional Director

agreed that the problem was an important one and the Director-General drew attention

to the fact that the Third Report of the Expert Committee on Professional and

Technical Education (document EB17/15) which was on the Executive Board's agenda,

showed that considerable thought had already been given to the question of definitions

and qualifications of personnel.

4.12.7 The Chairman of the Executive Board, referring to Area Representatives

(Off. Rec. Wld Hlth Org. 66j 272), asked what countries bordering the Persian Gulf

would come under the second Area Representative, and whether such countries as

Iran and Pakistan would come under Area Representatives, or directly under the

Regional Office. The Regional Director said that Area Representatives were necessary

to serve adequately the large number of countries at some distance from the


• • ) “ ！ •‘“

. . : * \ ： . • - . . . . 人：： .

Regional Offic'èV and to co-ordinate their activities. In reply to a specific question,

he stated that the Representative for the countries bordering the Persian Gulf would

co-ordinate the activities of Bahrein, Kuwait, Oman, Muscat and Aden,

4.12.8 Recalling that the so-called "green pages" on additional projects requested

by governments and not included in the proposed Programme and Budget Estimates had

given rise to much discussion in 1955, the Chairman of the Executive Board enquired

whether the proposed Programme for 1957 in the Eastern Mediterranean Region dealt

adequately with the requests received. The Regional Director replied that the regular

budget estimates for 1957, and the supplement, covered all the urgent requests

received and that the requests for which no provision had been made either suffered

from certain technical defects or had not been considered ready for immediate <

implementa ti on.

4.12.9 Arising out of a question put by the Chairman of the Executive Board, the

Chairman" expressed the view that the question of the use of the Arabic language in the

Region was a matter which should be raised in the Executive Board. However, the

Committee would examine it with great care should the Executive Board refer the matter

to it.

4.12.10 Noting the estimates on page ^08 of Official Records No. 66, the Chairman

asked for further information concerning the long-term fellowships for Libya and en-

quired why provision for those fellowships had been made in 1955 and 1957 but not in

1956, In his reply the Regional Director said that long-term fellowships were

provided for countries, such as Libya, Saudi Arabia and the Yemen, which had no (

facilities for training doctors• The money appropriated in any one year was sufficient

to cover a seven-year coursç.

4.12.11 In reply to a question put by a member, the Regional Director stated that the

decrease in the estimated expenditure on tuberculosis under Technical Assistance funds

for 1957 resulted from the fact that a number of projects were expected to terminate

during or before 1957-

4.12.12 The Committee noted that the cost estimates for the Regional Office

represented an increase of $12 )20 and that this resulted from an increase in the

costs of personal services and allowances of $15 127 and partially offsetting

decreases in travel other than duty travel.


^.12.13 As regards the fielâ programmes, the Committee noted that the estimates

reflected increases amounting to $2?1 7紅紅 without the supplement and $617 071 with

the supplement as compared with the corresponding provisions for 1956. The Committee

also noted that, inclusive of the supplement, the estimates relating to field

activities (exclusive of the costs for Regional Advisers and Area Representatives)

provided for continuing projects estimated to cost kk^} for individual

fellowships constituting projects in themselves $137 900 and for new projects

$в71 259. The Committee further noted that the corresponding estimates for individual

fellowships and new projects, without the supplement, amounted to $110 900 and

1552 952 respectively.


4.13 WESTERN PACIFIC (Official Records No. 66, pp. 318-359 and 38l-]583)

Regional Office

Estimates1

1956

$

245 775

1957 Increase Without • _• — • i i л^етт^шшт

gupplement “ $

253 296

With 'Proyjgjcn in Without StrppiVnenitSupplement Supplement _» II if IГ II II ттЛштЁштттт» « м м м м м в м ш м и м м м м м « ш м н м м м и в и в п в а м р м м в

i $ $

7 521 7 521

Number of Posts

Field Activities

Estimates

Number of Posts

2 535 982 577 571 159 519

39 ^ 1

•143 589 ЗОЗ 108

6

The Regional Director informed the Committee that the 1957 programme and

budget for the Western Pacific Region were presented to the Regional Committee at

its sixth session in September 1955. A sub-committee, established for that purpose,

had made a thorough review of the programme, and recommended its approval to the

Regional Committee. It was proposed to appoint an additional area representative in

1957, and it was anticipated that by 1958 the region would be adequately covered by

area representatives. Although there was a growing interest in the eradication of

malaria, the expenditure under that heading and under that of insect control would

remain approximately constant. There would, however, be a considerable increase in

expenditure in tuberculosis control, since many countries which had undertaken BCG

work for some years were now turning to another phase of tuberculosis control. The

proposed expenditure for 1957 on venereal diseases and treponematos es was considerably

The figures represent gross amounts shown in summary on page of Official Records No. 66， which exclude the factors relating to staff turnover, lapses in effecting replacements and delays in filling new posts, applied on an overall basis, shown on page 79 of Official Records No. 66.

2 The figures represent gross amounts shown in summary on page of

Official Records No, 66, which exclude the factors relating to staff turnover, lapses in effecting replacements and delays in filling new posts, and delays in implementation of new projects, applied on an overall basis (see page 83 of Off. Rec> Wld Hlth Org, 66)•


greater than for I956, because continuing projects were being expanded and new

projects had been requested. The proposed expenditure on public health administration

also showed a substantial inorease as compared with 1956 and would mostly be devoted

to advisory services, although a fair percentage would be allocated to fellowships•

Nursing and M3H showed slight increases, but tended to be stabilized at the present

levels• The relatively large increase in expenditure for mental health would almost

entirely be devoted to fellowships, as it was believed that developments in this

field must necessarily depend on trained local personnel. The expenditure on environ-

mental sanitation would remain about the same as for I956, but considerable development

had taken place in that field during the last two years. Finally, under the heading

"other projects" were a number of projects for assistance to teaching institutions

and for strengthening health services.

4.1J.2 In response to a request for information regarding the Central Medical School

in Fiji, the Regional Director stated that the school had been established some

thirty years ago with the help of the Rockefeller Foundation in order to supply the

Fiji Islands with trained medical personnel on a more permanent basis than they had

previously enjoyed. The students admitted to that school did not have sufficient

educational background to be given quite the same training as ordinary medical

students. However, they followed a five-year course in scientific, medical and

clinical subjects and emerged as extremely useful medical personnel for practising in

their native islands. When WHO had first visited the school in 1951 it had been

obvious that a number of improvements could be achieved although it had not been

considered practical to raise the standard to that of a regular medical school. They

had reached a higher level than medical assistants in most countries since their

training was very thorough. Moreover refresher courses were being run for the older

assistant medical practitioners and included such subjects as ophthalmology and

environmental sanitation.

4.13.3 In answer to a question by the Chairman the Regional Director said that

malaria in Taiwan had been brought under control and the campaign for the eradication

of malaria was now proceeding. His adviser on malaria would soon be going to Taiwan

and it was also hoped to get the services of an entomologist to speed progress.


紅 . 1 5 . 红 The Committee noted that the cost estimates for the Regional Office

represented an increase of $7521 relating mainly to personal services and allowances

and statutory travel.

红.15.5 As regards thè field programmes^ the Committee noted that the estimates

reflected increases, amounting to $1^3 5^9 without the supplement and 1303 108 with

the supplement, as compared with the corresponding provisions for 195^. The

Committee also noted that, inclusive of the supplement; the estimates relating to

field activities (exclusive of the costs for Regional Advisers and Area Representa-

tives) provided for continuing projects estimated to cost $26l 101， for individual

fellowships constituting projects in themselves $213 320 and for new projects

$126 771• The Committee further noted that the corresponding estimates for individual

fellowships and new projects, without the supplement, amounted to $106 470 and

$7红 102 respectively..


k.Ik- EEGION UNDESIGNATED (Official Records No, 66, yy^ 360‘5勿）

19^6 1957 Increase

Estimates1

$ 1+10 k22 $ k&9 0 1 '•；• O67

Posts 2k 28 ^

^•X1

!-Д The Director-General said that the activities appearing under "region

undesignated" were essentially a continuation of activities carried out in previous

years. The major part of the expenditure proposed under the heading Public Health

Administration (Official Records No. 66， page 565) vas the result of agreements vith

UNICEF and with 1ЛША# Tb»e principal activity planned under "region undesignated" was

malaria eradication^ following the programme for 1956• The last Woria Health Assembly

had requested governments to intensify programmes of malaria control so that malaria

eradication might Ъе achieved and it had therefore been decided that provision must be

made for short-term consultants to advise governments on programes for the eradication

of malaria. It was also proposed that advisory teams should help governments in the

transition from control to eradication of' malaria. Furthermore, it was proposed to

make grants and provide for contractual technical services in order to control malaria

in places where it was not yet possible to eradicate it. Even vhen malaria was

practically eradicated from a country there might remain inaccessible poekets which made

such control essential. Experiments had been conducted^ notably in Brasil, for the

distribution of antimalarial drugs mixed with staple foods or condiments； but iiany

details remain to be vorked out in that field. Moreover, erad.u:at:i.on programmes had

to be carried out by trained personnel, so that it was essential to givs o.ssictance to

malaria courses and to grant fellowships to professional malaria control vorlœrs for the

study of methods of control and eradication in other countries. Finally, it was proposed

to hold a Third Asian Malaria Conference in 1957 in order to clarify the technical and

administrative aspects of malaria eradication campaigns in the Westemi Pacific and

South-East Asia regions. It was also hoped that the representatives of other

1 The figures represent gross amounts shown in sumary V X ^

т : Г с >

- . . Official Records 66，which, exclude the factors relating to delays in impleinentation of new projects, applied on an overall basis (page 83 of Off, Eec, Wid Elth Org. 66).


organizations interested in malaria eradication such as the International Co-operation

Administration of the United States of America and the Colombo Plan Administrât!on would

take part in the work of the Conference.

With regard to inter-regional co-ordination and the malaria advisory teams

the Director-General stated that it was necessary for research workers to help those

engaged in malaria eradication, particularly for the study of resistance to insecticides

It vas unforh^mate that resistance to insecticides i n some areas is developing more quickl

than had been anticipated a year ago# It was essential to solve the problem of

resistance if eradication was to be successful。 Though advisory teams would work

under regional directors for administrative purposes， they were responsible to ‘

Headquarters on technical natters because the eradication of malaria must Ъе conducted

as a world-wide campaign•

In reply to a question Ъу the Chairman^ the Director-General said that

fellowships vere a particularly suitable manner.in which to acquaint antimalaria

personnel with progress made in other countries. Public health authorities in certain

countries still had doubts about the possibilities of eradicating malaria because they

felt their resources to be insufficient. They might become convinced that eradication

vas possible if they had an opportunity of "witnessing the progress achieved in other

countries.

紅.1紅•红 A menber asked vhether the activities of advisory teams were limited to the

giving of advice or "whether they also included co-ordinating functions• It was

impossible to eradicate malaria unless there was complete co-ordination among

neighbouring countries。 There di3 not, however^ appear to be any provision for a

co-ordinating group in the progranme. The Director-General agreed that co-ordination

was essential and stated that this was the task of the advisory teams. The essential

function of advisory teams "was not only co-ordination between the countries in which

they happened to be working, but co-ordination on a world-wide scalec

Referring to Official Records No# 66， page 565, a member sought further

information concerning the training courses on public health laboratory techniques for

virus and rickettsial diseases. He vas informed that WHO vas becoming increasingly-

concerned vith the problems of virus diseasesc It vas therefore considered necessary

to train an increasing niunber of people in the new techniques of virus cultivation.

EB17/AF/3 Rov.l page 89

Noting the provision included in the estimates for the Asian Malaria

Conference, which seemed to have become a regular feature of the programme, the

Chairman of the Executive Board asked whether other regions should not be invited

to take part in its work. He was informed that other regions could be invited to

take part in the work of the Third Asian Malaria Conference. The South-East

Asian and Western Pacific regional committees had requested that the Third Asian

Malaria Conference should be held not later than 1957 and that request had been

embodied in a resolution adopted by both regional committees. There would also

be a joint malaria conference in 1956 for the European and Eastern Mediterranean

Regions, It vas also recalled that a meeting had taken place in December 1955

In Yugoslavia attended by malariologists from Greece, Turkey, Yugoslavia, Albania,

Bulgaria and Romania. This meeting had been very successful and had given rise

to a most valuable exchange of views among the highest ranking experts of those

countries•

^ . 7 In conclusion the Committee noted that the cost estimates for Region

Undesignated represented an increase of flO^ O67.


5. EXPERT COMMITTEES AND CONFERENCES

(Officiai Records No. 66, pp 22續24， 26-28> ЬЛб and 49 - Summary p. 62)

1956 1957 Decrease

$147 200 $131 900 $15 500

relating to expert committees and conferences reflected a

for 1957 as compared with 1956. The Committee called upon the

furnish full information regarding these proposals• The Director-

the meetings proposed for 1957 under the heading и

Сentrai Technical

Services'1

were those normally held at more or less regular intervals and that total

expenditure for those meetings would be lower in 1957 than in 1956. It was, however,

proposed to hold three meetings which werè either new or the result of an expansion

of activities, namely, that of the Sub-committee on Cancer Statistics, and committees

on health laboratory methods and on production and requirements of yellow-fever

vaccine. The two previous meetings of the Sub-committee on Cancer Statistics had

been mainly concerned with definitions and classifications, and it was considered

necessary to hold another meeting in 1957 in order to advance the work so far done.

A number of problems would have to be examined at the meeting on production and

requirements of yellow-fever vaccine, and both the Division of Therapeutic Substances

and that of Epidemiological and Health Statistical Services would participate in

that work. As regards food additives, a preliminary conference held in 1955 had

shown the growing importance of that subject for governments, and WHO would attempt

to define its responsibility in this matter in 1957- The report of that conference

would be available for examination by the Executive Board at its forthcoming session,

5^2 In reply to a question, the Director-General said that the representatives of

Scandinavian countries had stressed the importance of food additives at the World

Health Assembly, and that the Assembly had adopted a resolution which had led to the

convening of a joint conference with the Food and Agriculture Organization (PAO).

The report of the conference was now available and a great deal of administrative

and technical work would have to be carried out as a result of it, so that all

available personnel would be fully engaged on that question in 1956. The Director-

General therefore did not feel that it would be practical to advance to 1956, as

requested by a Member State, the meeting of the expert committee planned for 1957•

Estimates

5 1 The estimates

decrease of $15 300

Director-General to

general stated that


5.3 In reply to a further question on the same subject the Director-Generetl stated

that WHO worked in complete co-operation with PAO on food additives and would take

part in a meeting on that question to be held by РАО in 1956. The Organization

would, however, concentrate its efforts on the meeting to be held in 1957•

5.4 Noting the provision in the estimates for a Sub-committee on Non-Proprietary

Names, a member enquired whether this was in effect a sub-committee of the Committee

on International Pharmacopoeia, and asked whether the work of the Committee on

Specification for Pharmaceutical Preparations was related to the work of the other

two committees• He was informed that this was so.

5.5 With reference to the expert committees and conferences under the heading

Advisory Services, the Director-General pointed out that it was proposed to convene

in 1957 a number of committees which had not met for several years,.since considerable

developments had taken place in most of those fields. In particular, the Committee

on Poliomyelitis would have to discuss vaccination.

5.6 Arising out of a suggestion made by a member that the task of the Expert

Committee on the Organization of Medical Care was too wide to produce satisfactory

results, the Director-Genera1

, stated that the purpose of the Committee was to em-

phasize the need for co-ordinating curative with preventive services^ in accordance

with the recommendations of the Executive Board.

5.7 In reply to a further suggestion that the work of the Committee should be

divided into two parts, one dealing with co-ordination between hospital medical

services and home medical services, and the second with the relation between pre-

ventive çtnd curative medicine, the Di r e с t or-Oerte ral said it was proposed that the

Committee should study preventive services in relation to hospitals, with special

emphasis on the relationship between curative and preventive medicine. The subject

was wide, but it was preferable for it to be so at the first session of a oommittee,

because it enabled a committee to select the rrmin points of interest in the broadest

possible context. Particular attention would, howëver, be given to the comments of

the members of the Committee when the agenda for the Expert Committee was drafted.

EB17/AF/3. Rev.l page 92

5,8 With regard to the Expert Committee on Dental Health，a member asked if an

advisory panel on that subject had yet been established. He was informed that

several goverments had already been consulted with a view to setting up an advisory-

panel before the Committee was convened.

5*9 In reply to a suggestion that the subject to be discussed by the Expert

Committee on Dental Health was too restrictive, the Director-General explained that

the Study Group on Dental Health Services for Children and the meeting of the Expert

Conimittee on Dental Health were both part of a general plan* There was no doubt

that the use of fluorine was one of the most striking advances in preventive

dentistry. At the same time, it must be recognized that in present conditions

most countries in their dental health programmes concentrated mainly on restorative

services and .the relief of pain and infection. In those restorative services

differences existed from country to country that were difficult to explain, and it

was the object of the meeting of the Study Group to clarify those differences• The

Expert Committee, on the other hand, was to deal with one specific and well-defined

problem. The present practice in the preventive use of fluorine was to add it to

water supplies j the Expert Committee would be mainly concerned with the possible

use of seme other vehicle where no public water supplies existed,

5»10 With regard to the proposed Expert Committee on Poliomyelitis the Director-

General drew attention to its main terms of reference as set out in the narrative on

page 43 of Official Records No, 66. The main topic would be vaccination: in

particular, the preparation of vaccines, safety tests, and the place of vaccination

in public health programmes. There were differences of opinion on that last point,

and public health administrations were anxious to obtain authoritative information.

The news of the discovery of poliomyelitis vaccine had reached the general public at

the same time as the medical profession, and that news had aroused a general demand

for vaccination. It was, therefore, important for public health administrations

to have guidance on whether a programme of vaccination would be useful or whether

it would be a waste of money and staff better used for attacking other health

problems, A Study Group on Poliomyelitis Vaccination had met in November. It had

reviewed the experience of countries where vaccine had been produced and tested.

The report of the meeting had been distributed in mimeographed form to all governments.

The report was also to be published• The work of the Study Group and of the pro-

posed Expert Committee must, of course, be considered as part of a general plan*


In this connexion the Committee had for its consideration a document prepared by the

Director-General on the programme of WHO on poliomyelitis. In view of its importance,

the Committee requested the Director-General to forward this document to the Executive

Board (document EB17/60).

5.11 Noting that provision bad been made for a technical conference on insect

resistance, and also for an Expert Committee which was to consider the extent and

intensity of insect resistance to insecticides, a member enquired as to why it was

necessary to convene both meetings in the same year. He was informed that it was

felt that not enough research was being conducted on the fundamental problem of the

development of resistance, and that unless the problem was solved before resistance

developed, the enormous benefits achieved in recent years by the use of residual

insecticides would largely vanish• The technical conference attended by heads of

research laboratories would discuss the general phenomenon of resistance, while the

Expert Committee would consider specific manifestations of that phenomenon and make

appropriate recommendations regarding the present work of WHO.

5.12 In reply to a question as to the exact purpose of the proposed Expert Com-

mittee on Environmental Sanitation, the Director-General stated that at each of its

sessions the Expert Committee had dealt with one aspect of environmental sanitation.

The purpose of the meeting proposed for 1957 was to formulate recommendations on

atmospheric pollution that would enable countries at present beginning the process

of industrialization to avoid the mistakes made by countries already industrialized.

5.I5 Noting that provision was made for an Expert Committee on the Professional and

Technical Education of Medical and Auxiliary Personnel to discuss organizational and

administrative questions of medical schools, a member enquired whether the functions

of that Expert Committee ought not be divided between two bodies. ТЪэ Director-

General explained that the title of the Expert Committee implied that it was concerned

with the education of both medical and auxiliary personnel, but the panel from which

the members of the Committee at any particular session were drawn was large enough

to furnish experts competent on whatever specific aspect was being studied.

5.14 Arising out of further exchanges of views on the subject of study groups and

expert committees the Director-General said thct he hoped that all the information

necessary vould emerge from the document thct he had prepared for the Executive

Board and from the discussion of that document by the Board,


6. ADMINISTRATIVE SERVICES

(Official Records No. 66， pp. 64-75)

1956 1957 . Increase

# 铉 ~ $

Estimates 1 037 699 1 130 624 92 925

Number of Posts 131 130 (1)

The Committee noted that the estimated costs of administrative services for

1957 were $92 925 more than for 1956. The various increases and decreases in

the costs of administrative services appear in Appendix 8(EB17/AF/WP/7, Annex

pp. 19-20).

6.1 OFFICES OF THE DIRECTOR-GENERAL

1956 1957 Increase F" ^ ф # Ф

Estimates 374 007 454 556 80 549

Number of Posts 38 3S -

6#1Д The Chairman called attention to the fact that certain increases were shown

in the costs of personal services under the offices of the Director-General and

asked for an explanation. The Director-General informed the Committee that the

increase in personnel costs in the offices of the Director-General were all either

normal salary increments or statutory staff costs. The Comrriittee noted that no

new posts were proposed.

6.1.2 The Chairman asked for details of the increase of $61 950 shown for

"Other Costs". The Director-General informed the Coimnittee that the increase was

mainly for visual media in Public Information, A provision of $60 000 was

proposed for the production of a film to commemorate the tenth year of the work

of WHO which was intended to provide an overall viçw of WH0J

s work during the

first ten years of its existence. It would consist of a 30-minute film in black

and white and would be produced in three languages. The film was intended for ‘

the general public, rather than the medical profession, and could be expected to

be useful for at least five or six years.


One member drew attention to the fact that producing the film in only three

languages would make it difficult in many countries to reach the public for which

it vas intended and asked the cost of producing the film in additional languages.

The Director-General replied that copies would be made with the "international

sound track" and the extra cost of adding a language vas expected to be between

$2000 and $3000• In response to a further question, the Director-General said

that indications £гош regional committees as to the languages in which they felt

such a film should be produced for distribution in the countries in the region

would assist him in making a judgment concerning the production of versions in

other languages•

The Committee recalled that at its fifteenth session, the Executive Board had

rejected the offer of a commercial company to produce a film for WHO because the

name of the company would have appeared on the film. It welcomed the proposal for

the Organization to produce such a film and considered that the costs for the type

of film to be produced were reasonable.

6.2 DEPARTMENT OF ADMINISTRATION AND FINANCE

Estimates

Number of Posts

1956

663 692

93

1957

676 068

92

Increase

12 376

(1)

6.2,1 General

The Coranittee noted that the

Finance showed an increase of 缺12

increases amounting approximately.

estimates for the Department of Administration and

376. That increase resulted from a number of

to $20 ООО and a number of decreases amounting

approximately to ,;7000

e The increases comprise $11 657 for normal salary

increments, $3415 for statutory staff costs, $3810 for duty travèl, and various

other small items• The decreases result from the elimination of the posts of one

budget analyst and one accountant, because the workload will decrease when the

European Regional Office is transferred to Copenhagen» One new post of clerks

stenographer, to enable the staff to deal with the increased audit workload which

will result when that transfer takes place is included for the Office of

Internal Audit,

EB17/AF/3 Rev.l • page 96

The Committee further noted that the increase for duty travel resülts frcxn the

established policy of transferring auditors between regional offices every two years•

7. COMMON SERVICES

(Official Records No. 66, p,76)

1956 1957 Increase

Estimates $323 633 $333 561 19 928

7,1 The Committee noted that the largest increase for common services was in the

amount for space for the headquarters staff# That increase would, result when

headquarters staff occupied offices presently occupied by staff of the Regional

Office for Europe• The Committee also noted that the cost of common services had

been divided between the Regular Budget and Technical Assistance funds, 85 per cent#

being charged to the Regular Budget and 15 per cont • to the Tedhnical Assistance

Budget, except for the cost of hospitality and equipnient^ both of which were charged

entirely to the Regular Budget.

7*2 The Chairman inquired whether WHO paid rent for rooms In the Palais des Nations

for which it had paid construction costs • The Dir e с tor -Gene ral informed the Com-

mittee that as a resixlt of paying the cost for a new wing and certain alterations to

other parts of the Palais, the Organization had on a 99-year lease some 275 offices

in the Palais• There was a nominal rent of one Swiss franc a year and the Organiisac-

tion paid its share of the costs of maintenance# That ‘ share was shown under

Chapter 31，Rent and Maintenance of Premises• In response to inquiries from members

of the Committee, the Director-General provided the information in Appendix 26

(ЕВ17/AF/W/24) showing the number of square foet on an average occupied by staff oí

Ш0 at present and as estimated for 1957, and describing briefly the method of

calculation of the charges tnade by the United Nations#


COST ESTIMATES POR THE EXPANDED PROGRAMME OF TECHNICAL ASSISTANCE

Although the Committee did not U n d it appropriate to comment in its report

on the programme to be financed under Technical Assistance, the Committee satisfied

itself that the costing estimates for projects and for operational services and con-

tral administrative costs under the Technical Assistance Programme are satisfactoiy#

So far as the operational services and central- administrative costs a-re concerned,

the Committee calls to the attention of the Board the analysis which appears in

Appendix.27 (EB17/AF/WP/15)• The Committee believes that, to the greatest extant

possible, savings should be made in costs of this type, in order to use the greatest

possible amount for field projects. It notes that the estimated expenditures for

those purposes are reasonable and that the work carried out with Technical Assistance

funds is administered as economically as possible»

EB17/AF/3 Rev.l page 1.08

Chapter V- THE BEOAD FINANCIAL IMPLICATIONS OF THE BUDGET ESTIMATES AND THE IMPLICATIONS FOE CJOVEBNMENTS OF THE

DIRECTOE-GENEEALiS PEOPOSED BUDGET LEVEL FOE 1957

1. GEHEEAL

1Д 工xi accordance with its terms of reference, the Committee's review included a

consideration of "the broad financial implications of the budget estimates, with a

general statement of the information on which any such considerations are based"

(resolution WHA5,62)•

1.2 The Committee realized the complexity of the question of the broad financial

implications of the budget for governments, and understood the problem the Director-

General faced in formulating his programme and budget proposals, confronted as he is

vith the need to meet urgent requests for assistance to governments keenly anxious

to develop their health services, and with the need to consider the level of

resources vhich governments might be willing to make available to the Organization^

The Committee was also avare of the observations of the UN ACABQ concerning the

increases in the budgets of the specialized agencies and of the discussions in the

Fifth Committee of the United Nations General Assembly, vhere some governments

urged the stabilization of the budgets of the specialized agencies^ while others

urged that the needs of the "under-developed" countries cannot go unmet.

1.3 The Cornmittee also noted recent developments in other organizations vhich

reflected the degree of interest vhich governments have, not only in international

health work, but in all aspects of economic and social development • It was aware

of the increased funds which vere being made available through voluntary contributions

to such'international efforts as UNICEF and the United Nations Expanded Programme

of Technical Assistance^ as well as through the medium of other multilateral or

bilateral sources, which were a reflection of the interest of governments in these

matters.

Docuníent EB17/53


2. FINANCIAL PARTICIPAT工ON BY GOVEENI-JENTS Ш WHO-ASSISTED PROJECTS IN THEIR COUNTRIES

The Connittee also had before it a report on government contributions to health

projects to be. carried out in their own countries, which was an indication of the

interest of the governments.concerned in those projects. There follows a table set-

ting forth a summary of the information on governiîient contributions to health projects

assisted by i/НО - the details of which are given in Appendix 28 (E:‘17/AF/WP/l4).

ESIimïED GOVERNMENT CONTRIBUTIONS IN LOCAL CURRENCIES TOWARDS IMPLEMENTATION OF PROJECTS

Africa

Americas

South-East Asia

Europe

Eastern Mediteraréuae&a

Western Pacific

The Committee noted that,

have been in operation in If55

the information on governments1

eontribuLioas had been obtained only from 81, represent

two-thirds oí these countries.

The Committee further noted that, although the returns on which the above figures

are based are incomplete, the amounts represent a considerable increase over those

estimated £or 1955 and 1956 at the time the Programme and Budget for 1956 were con-sidered. by the Executive Board (#29 420 783 for 1955 and $27 405 562 for 1956),

X

.

representing returns also from two-thirds of the countries and territories

concerned.

1 Off. Roc, m d Hlth Org, 61, 6Q, table б

1955 ÜSf"

4 775 759

11 698 601

4 384 281

3 294 650

4 152 046

7 447 182

35 752 519

1956

W 2 018 836

16 327 700

8 294 337

2 092 6X3

3 285 889

7 511 489

1957 Щ "

2 602 834

17 862 289

6 702 466

2 115 663

Not- available

5 30g 812

39 531 064 34 589 064

of the 122 countries and territories in which projects

or for which activities are planned for 1956 and 1957,


3, CASUAL INCOME

3-1 In considering the financial implications for governments of the Director-Goneralte

proposed budget level, the Committee reviewed the amount of casual income available to

finance the budget for 1957, At the time of the Comittee meetingд $317 ООО was wail-

able for that puipose (or 1978 320 less than was used to ünance the budget for 1956)

and no appreciable increase in that amount was expected unless the eventualities re-

ferred to in paragraph 3-5 materialize^

3-2 In this connexion the Committee recalled that the Executive Board, at its

fifteenth session, made the following comments^ "It is foreseen that caBual income may

decline still further in future years， because the arrears of contributions due from

active Members totalled only $330 000 at the end of 1954- The Board considered whether,

in principle у the whole amount of casual income available each year should continue to

be used to reduce the contributions of Member States for the budget of a single year,

or whether a part of it should be reserved far a future year when there might be

greater need for it, in order to avoid sharp fluctuations in the amount of casual

income which could be used- The Board did not reach a conclusion on this problem

but decided to bring it to the attention of the Eighth World Health Assembly

3#3 The question was first considered at the Eighth World Health Assembly by the

Committee on Administration, Finance and Legal Matters* That Committee, in reporting 2

to the Commit toe on Programme and Budget the maximum availability of casual incomo of

$1 295 320 recommended "that $200 000 of the amotuit available in the Assembly Suspense

Account be reserved to assist in financing the 1957 budget and that the balance of

$760 822 be used to finance the 1956 budget. Should the Committee on Programmo and

Budget accept the re с oinmend at ion of the Committee on Administration and Finance and

Legal Matters^ this will result in a total amount of casual income of $1 095 320 to

be used to finance the 1956 budget". The Committee on Programme and Budget haying •, ' ' i \ had before it the report of the Committee on Administration. Finance and Legal letters

• 0 . . . • ”

recommended to the Health Assembly that the amount of I960 822 available from the cash portion of the Assembly Suspense Account be used to finance the budget fcrT956.

1

Off. Rec. Wld Hlth Org, 61, 68, paragraph 25.2,4 2

Off, Rec. lad Hlth Org» 63, 297


That amount was part of the total of |l 295 320 which the Health Assembly voted to use

to ünance the 1956 programme and budget. • . *

3#4 It seems to the Committee, therefore, that the Eighth World Health Assembly, in

adopting the Appropriation Resolution for 1956, was well aware that in future years a

considerably smaller sum would be available through casual income to finance the budget.

3,5 In considering the amount which m i ^ t bo available to finance the budget for 1957,

the Committee noted that the sum of only I?5 190 which is due to the Organization in

arrears of contributions from active Members for the years 1953 and 1954 could become

available to ilnanco the 1957 budget in the event that all of those Amounts were paid

prior to the time of the Ninth World Health A-ssembly, The Committee noted that the .

appropriate column in Official Records No. 66 showed estimated expenditure for 1955 of

Ю 345 387, as compared to the approved Effective Working Budget of 500 ООО, or an

estimated budgot surplus of $154 613. The CommittGG also noted that, as at 31 Docombor,

I694 052 was due for 1955 assessments on active Members• Should all these contributicns

be paid by the timo of the Ninth World Health Assembly, the estimated 沒154 613 would

be available to finance the 1957 appropriation, ¿539 439 boing required to ‘repay the

Working Capital Fund for advances estimated to be required to finance the 1955 budget

pending recoipt of contributions• The Committee also noted that should payment be

received by the timo of the Ninth World Health Assembly of any contributions due £rom

"inactive" Horabcx^s, these amounts would be available in the Assembly Suspense Accounts

4r STATUS OF COLLECTIONS OF ANNUAL. CONTRIBUTIONS

. »

The Committee also considered the status of collections of annual contributions

The information presented to the Conimittee indicated that the collections of assoss-

inents of activo Members were improving 总ach year. In 1955, 91#88 per cent, of the

contributions in respect of the year had been collected by 31 December 1955, Had

it not been for legislative procedures of the largest contributor, idiich had prevented

1

Document EB17/47

狐7/AF/3 Rev.l page 102

it from paying the entire amount of its contribution in 1955， the percentage for that

year would have boen 95,97華 It was also noted that the ceiling imposed by that

country on its contributions, a measure which had been discussed at the Seventh

World Health Assembly as well as the thirteenth and fifteenth sessions of the Board,

had now been removed^

5/ EXPANDED PROGRAMME OF TECHNICAL ASSISTANCE

Chapter II, scction 4, of this report contains information relating to the

possible availability of funds for health work under the E^anded Programme of

Technical Assistance. The Committee draws the attention of the Board to the fact

that the amount of funds available under that programme for 1957 will not be knovm

until late 1956, although the target planning total for WHO is at nearly the same

level as "the amount of the approved programme for 1956.

6等細ITIONAL PROJECTS REQUESTED BY GOVURNÎENTS AND NOT INCLUDED IN THE PROPOSED PROGRAMME AND BUDGET ESTHETES

In Chapter II， section 5, of this report^ the Committee noted the projects shown in Annex 5 of Official Records No. 66，which had been requested by governments,

(costing $462 000) but which were not included in the proposed programme and budget

estimates• Additional programmes requested by governments have been shown under

Category II of the Technical Assistance Prograinrne in 1956 and 1957 adding up to about

$2 ООО 000, the implement at ion of which appears most unlikely,

7, SUMMARY

7#1 The Comrnittee calls the attention of the Executive Board to the fact that the

increased costs to governments of the Dire ctor-Gen eral!

s alternative effective working

budget at $11 441 600 (assessment budget^ $13 892 420) were influenced by three

factors^ as follows:

EB17/AF/3 Rev. 1 page 103

(1) There was a decrease in the amount of Casual Income available to finance

the budget, as compared to 1956, of $978 520,

(2) The Director-General1

s proposed programme and budget estimates represented

an increase of $1 2)9 100 over the effective working budget approved for I956.

,、 1 ⑶ The scales of assessments adopted by the Eighth World Health Assembly,

the principles of which it decided to apply fully in four annual stages start-

ing in 1956, resulted in fairly large adjustments in the level of assessments

for some countries for 1957, the second year of the adjustment period,

7.2 While the Director-General丨s proposed effective working budget would be an

increase of some 12 per cent, over the level for 1956, the increase in the assess-

ment budget would be 28.89 per cent" resulting from the first and second factors

mentioned above. The percentage increase for individual Members would vary very

widely, because of the third factor mentioned above.

Ю The Committee also considered the alternative Effective Working Budget at

$12 966 600 (assessment budget, $13 327 600), and noted that the proposed Effective

Working Budget would be an increase of some 27 per oent, over the level for 1956,

while the increase in the assessment budget over that for 1956 would be 23,65 per cent.

The Committee noted that in recormnending this larger alternative Effective Working

Budget, the Direc tor-General stated that he was proposing also a smaller Effective

Working Budget n

•… • in case the present number of Members actively participating

in the Organization remains unchanged"• He added, "I hope by the time of the Ninth

Health Assembly, the assumption on 池ich the first alternative is based will have

become a reality." With the exception of the Member whose assessment is fixed at

35-I/3 per cent, of the assessment budget, the assessments of all Members under this

alternative would be less than under the other alternative of the Effective Working

Budget.

1

Resolution WHA8.5, Handbook of Resolutions & Decisions, 3rd e d " 197, 201. p

The reference in the quotation to the "first alternative" relates to the proposed Effective Working Budget of $12 966 600.

EB17/AF/3 Rev.l page 104

7#4 It was difficult for the Committee to reach agreement on the importance for

.govermeoi^oínjió^^financial implications of the budget levels. Therefore厂 there

was a divergence of opinion among the member^ of the Committee concerning the

recommendations which it should шке to the Board: one suggestion vías that the

Committee should recoiomend for 1957 an effective working budget at a level which

would not be too difforent from the one adopted by the Assembly for 1956,. although

this would not preclude the discussion of a possible reasonable increase¿ another

suggestion was that the Director-General1

s proposals should be fully supported； a

third suggestion was an intermediate position between the two points of view des-

cribed above• In view of the different opinions expressed, the Committee is sub"

Biitting to the Board this report on the factors relating to iinplicatioM

meats oi. the-^alberaaative ^Xiôcti^ywJdjag budget whlx?h iXr


Chapter VI. SPECIFIC BUDGETARY QUESTIONS

1. APPROPRIATION RESOLUTION

1.1 The Committee considered the proposed text of the Appropriation Resolution

for the financial year 1957 contained on pages 12 and 13 of Official Records No. 66.

It was noted that this text was identical to that adopted by the Health Assembly

for the year 1956, with one exception. There was an additional paragraph V which

included provision for the Executive Board to approve transfers between sections

of the Appropriation Resolution by correspondence should it become necessary between

sessions of the Board. In prior years the Executive Board had authorized this by

separate resolution at its summer session and it appeared to the Committee that

the incorporation oí this arrangement in the Appropriation Resolution itself was

desirable since it would make unnecessary the adoption of a separate resolution by

the Board to provide for this arrangement.

1.2 The Committee further considered what changes in the Appropriation Resolution,

if any, might be necessary resulting from the resumption of membership by the present

inactive Members. It considered that any such change as may become necessary would

depend upon the circumstances at the time of the Ninth World Health Assembly. The

Committee therefore concluded that it was desirable simply to call attention to the

possibility that some change might become necessary rather than try to anticipate

what the situation might be and put forward positive recommendations for changes.

2. WORKING CAPITAL F Ü ® RESOLUTION

The Committee noted that the proposed text of the Working Capital Fund

Resolution, contained on page 13 of Official Records No. 66, was identical to that

adopted by the Health Assembly for the year 1956； and considered it to be

satisfactory.


3. PÜBLI CATIONS REVOLVING ‘ FUND

3.1 In reviewing the estimated amounts available for casual income to help

finance the Proposed 1957 Programme and Budget} tho Committee considered the status

of the Publications Revolving Fund on which the Director-General had submitted a

report to the Executive Board in document EB17/56,

3.2 In order to determine whether any balance could be withdrawn from the Fund

and added to Miscellaneous Income to help finance the proposed 1957 Budget,

the Committee requested the Director-General to furnish information as to the latest

position of the Fund,

3#3 The Director-General explained to the Committee that in document ЕВ17/56

submitted to the Executive Board, there was included a table on the status of the

Fund which was provisional because the'195 5 accounts hcd not yet been finalized,

and also had not been audited by the External Auditor. The estimated cash

balance on 31 December 1955 was $72 680 after deduction of the $37 000 for

financing in 1956 printing of publications for sale as well as the costs of sales

promotion, and an additional plO 000 which the Eighth World Health Assembly had

decided to withdraw from the Fund to be used as Miscellaneous Income for financing

the 1956 Budget. In the proposed Budget Estimates for 1957 provision was made

for an expenditure of $37 000 from the Fund to finance additional printing for

sale at a normal rate, and sales promotion. This would leave a net balance in

the Fund of $35 680, Considerable additional expenditure from the Fund might be

necessary in 1957 to print copies for sale of the Manual of the International

Statistical Classification of Diseases, Injuries and Causes of Death, While it

was not possible to know in advance tho total number of copies that would be

required to meet orders íor the second edition of the Manual, sales of the first

edition had amounted to 30 000 copies, most of which were sold in the first two

years following publication. It was to be expccted that sales of the second

edition of the Manual would not be less than those of the first edition, and that

EB17/AF/3 Rev.X îpage 1 0 7

nost copies would be sold in the years 1957 and 1958. The printing of 30 000

copies would cost approximately _ 000. In view of this extraordinary demand

on the Fund in 1957, the Director-General had recommended that no part of the

balance be withdrawn from the Fund for use as Miscellaneous Income to help finance

the 1957 Proposed Budget.

3.4 In the light of the explanation given by the Director-General, the Committee

decided to recommend to the Board that the

Fund of $72 680 should be left in the Fund,

withdrawn from It for use as Miscellaneous

1957 Budget.

balance of the Publications Revolving

,and that at this time no amount be

Income towards financing the proposed


Chapter VII. MATTERS DEFERRED FOR PRIOR CONSIDERATION BY THE BOARD

In the course of its examination of the Director-General1

s Proposed Programme

and Budget Estimates for 1957, the Committee decided to defer final consideration

of certain matters until after the discussion in the Executive Board on the policy

programme aspects of these items. The specific budget items on which consideration

was deferred are as follows;

(1) Tuberculosis Research Office (Official Records No> 66д p,35)

As stated in paragraph 2.3.4 of Chapter IV of its report, the Committee

noted that, arising out of discussions during the fifteenth session of the

Executive Board, the Director-General had submitted document EB17/43 to the

Executive Board suggesting how the programme of the Tuberculosis Research

Office might best be adjusted to the general policies of WHO.

(2) Use of an-additional language in a Regional Committee (Official Records No> 66

3 p. 21 ) — — — — — —

As stated in paragraph 1.3 of Chapter IV of its report, the Committee

noted that provision had been included in the estimates to cover the cost of

using an additional language in the work of the Regional Committee for the

Eastern Mediterranean.

(3) CIO^S (Official Records No, 66， p>60)

In this connexion, the Committee noted that the Director-General had

submitted to the Executive Board, in document EB17/45， a report on the future

policy of financial support to CIOMS.

S317/AF/3 Rev.l page 10 9

Chapter VIII, PROPOSED PR0C2DÜHE FOR THE CONSIDERATION OF THE 1957 PROGRAME AND BUDGET ESTIMATES AT THE NINTH

WORLD IEALTH ASSEMBLY

1. In considering the procedure which might be adopted by the Ninth World Health

Assembly for the consideration of the 1957 Programme and Budget Estimates, on which

the Director--General had submitted document EB17/3 to the Board, the Committee

recalled that，as a result of resolution WHA7.3^ of the Seventh Health Assembly, the

Executive Board at its fifteenth session had made certain recommendations to the

Eighth World Health Assembly, among them that it should instruct its Committee on

Programme and Budget to set up a working party to consider the proposed programme

and budget estimates. The Eighth World Health Assembly had decided that a working

party was unnecessary, and had adopted only those recommendations of the Board which

concerned, the terms of reference of the main commit tees.

2» In the course of the discussions a member suggested that, as the Committee had

deferred certain questions for prior consideration by the Board, any recommendation

might be made only after these questions had been discussed by the Board. If the

Board took a decision that Tiecessitated a re -examina tion of the 1957 Programme and

Budget Estimates, which the Board itself would not have time to undertake； it might

be useful for a working party to be set up at the Ninth Health Assembly, Such a

working party might also consider a number of questicns on the programme and budget

arising from the return of certain Members to active participation in the work of

the Organization.

3. Since the Eighth World Health Assembly had not endorsed the view expressed by

the Executive Board at its fifteenth session that "it would prove useful for the

Committee on Programme and Budget iinmediately to set up a working party as provided

in paragraph 1 of resolution ША7.38И

, the Committee concluded that the Eighth World

Health Assembly had found that the review by the Board of the Director-General1

s

Proposed 1956 Programme and Budget Estimates was satisfactory• It might also be

inferred, from the decision of the Eighth World Health Assembly, that the Assembly

S317/AF/3 Rev.l page 1 0 9

itself was satisfied to follow the procedure for considering the programme and budget

which earlier Assemblies had followed. The Committee decided to recommend to the

Executive Board that it adopt for recommendation to the Ninth World Health Assembly

the resolutionscontained in document E317/3.


Chapter IX, SUMMABY EECOMMEKDATIONS AMD CONCLUSIONS

In accordance with its terms of reference, the Committee took account of the

terms of resolution WHA5.62 of the Fifth World Health Assembly in the course of its

detailed examination of the Director-General's Proposed Programme and Budget Estimates

for 1957* As a result of this examination the Committee submits to the Board the

following recommendations and comments on the four major questions referred to in the

above-mentioned resolution:

WHETHER THE BUDGET ESTIMATES ABE ADEQUATE TO ENA.HLE THE WORLD HEALTH OEQA.KIZATION TO CABBY OUT ITS CONSTITUTIONAL FUNCTIONS IN THE LIGHT OF THE CTJERENT STAGE OF ITS БЕУЕЪОГМЕИТ

The Committee, in considering this question^ was of the opinion that the

constitutional functions of the Organization are of such magnitude that the budget

estimates for 1957 cannot Ъе said to be adequate to enable the World Health Organization

to carry out its constitutional functions. The Organization, both at Headquarters

and in the regions^ at the current stage of its development^ is so organized and now

has such experience as voulâ enable it to carry out its constitutional functions at a

considerably higher level than at present, should additional funds be maâe available

through the regular budget^ the Expanded Programme of Technical Assistance^ or from

some other source#

2. WHETHER THE PROPOSED PROGRAMME FOR 1957 FOLLOWS THE GEENEEAL PROGRAMME OP WOEK APPEOVED BY THE HEALTH ASSEMBLY

The Committee considered that the proposed 1957 progrconme followed the second

general programme of work for the period 1957-1960, which vas approved by the

Eighth World Health Assembly in resolution WHAB.10， and agreed to recommend to the

Executive Board that it answer the above question in the affirmative.

EB'7/AF/3 Rev.l page 112

3. WHECHEB THE PROGRAMME ENVISAGED CAN БЕ CABRIED OOT DURING THE BUDGET ÏEAB

The Committee considered that the Organization vas well equipped to enable it to

carry out during the budget year the programme proposed by the Director-General for

1957 гшйег Regular^ Technical Assistance and Other Extra-Budgetary Funds• It therefore

agreed to recommend to the Board that this question also Ъе answered by the Board iii

the affirmative •

b0 THE BROAD FINANCIAL IMPLICATIONS OF THE BUDGET ESTIMATES, WITH A GENEE/Ц,

STATEMENT OF THE INFORMATION ON WHICH ANY SUCH CONSIDEBATIONS ARE BASED

The (deliberations of the Committee on the broad financial implications of the

budget estimates and the data on which they aro based are contained in Chapter V of

this report.

SB17/AF/3 Rev.l APPENDIX 1 APPENDICE 1

NUMBER OF POSTS AND ESTIMATED NET EXPENDITURE IN 1955, 1956 AND 1957 FOR REGIONAL OFFICES AND FIELD ACTIVITIES UNDER ALL FUNDS BY REGIONS

NC5ÍBRE DES POSTES ET DEPENSES ESTIMATIVES NETTES PAR REGION EN 1955, 1956 ET 1957 POUR LES BUREAUX REGIONAUX ВТ LES ACTIVITES DANS LES PAYS,

COMPTE TENU DE TOUTES LES SOURCES DE FONDS

REGION

REGULAR BUDGET BUDGET ORDINAIRE

TECHNICAL ASSISTANCE ASSISTANCE TECHNIQUE

REGION Number of posts Nombre de postes

Estimated expenditure Prévisions de dépenses

Ntunber of posts Nombre de postes

Estimated expenditure Prévisions de dépenses REGION

1955 1956 1957

without supplement sans supplément

1957 with supplement aveo supplément

1955 1956 1957

without supplement sane supplément

1957 with supplement avec sTipplenv?nt

1955 1956 1957 1955 1956 1957

AFRICA

Regional Office Field activities

Total

AMERICAS

Regional Office Field, activities

Total

SODTH-EAST ASIA


Total

EUROPE

Regional Office

Field activities

Total

EASTERN MEDITERRANEAN


Total

WESTERN PACIFIC


Total

REGION UTOESIGNATED

Field activities

TOTAL

Regional Offices Field activities

GRAND TOTAL

27 20

30 29

31 37

31 52

224 110 335 279

239 Н6 363 739

2Л2 978 527 222

2A2 978 765 Д41

3 -42

3 83

3 86

24 000 4.10 475

32 703 5^5 eoi

32 217 663 515

AFRICA


Total

AMERICAS


Total

SODTH-EAST ASIA


Total

EUROPE

Regional Office

Field activities

Total



Total

WESTERN PACIFIC


Total

REGION UTOESIGNATED

Field activities

TOTAL


GRAND TOTAL

4-7 59 68 83 559 389 602 885 770 200 1 008 41? 45 86 89 Л34 475 618 504 695 732

AFRICA


Total

AMERICAS


Total

SODTH-EAST ASIA


Total

EUROPE

Regional Office

Field activities

Total



Total

WESTERN PACIFIC


Total

REGION UTOESIGNATED

Field activities

TOTAL


GRAND TOTAL

41 45

41 52

Al 51

Al 61

346 500 738 720

373 066 800 153

379 986 923 4X1

379 986 1 139 085

13 87

13 105

13 109

66 300 940 ЗЛО

68 013 1 181 341

71 242 1 269 220

AFRICA


Total

AMERICAS


Total

SODTH-EAST ASIA


Total

EUROPE

Regional Office

Field activities

Total



Total

WESTERN PACIFIC


Total

REGION UTOESIGNATED

Field activities

TOTAL


GRAND TOTAL

86 93 92 102 1 085 220 1 173 21Ç 1 303 397 1 519 071 100 118 122 1 006 640 1 249 354 1 34Q 462

AFRICA


Total

AMERICAS


Total

SODTH-EAST ASIA


Total

EUROPE

Regional Office

Field activities

Total



Total

WESTERN PACIFIC


Total

REGION UTOESIGNATED

Field activities

TOTAL


GRAND TOTAL

37 102

37 110

37 юл

.37 111

164 525 856 ООО

176 575 998 479

180 170 1 073 621

180 170 1 162 300

28 113

28 168

28 181

50 321 919 480

47 SP9 1 971 596

/

50 728 1 578 876

AFRICA


Total

AMERICAS


Total

SODTH-EAST ASIA


Total

EUROPE

Regional Office

Field activities

Total



Total

WESTERN PACIFIC


Total

REGION UTOESIGNATED

Field activities

TOTAL


GRAND TOTAL

139 ил 1Л1 1Д8 1 020 525 1 175 054 Г 253 791 1 ЗД2 Л70 141 196 209 969 801 2 019 495 1 629 604-

AFRICA


Total

AMERICAS


Total

SODTH-EAST ASIA


Total

EUROPE

Regional Office

Field activities

Total



Total

WESTERN PACIFIC


Total

REGION UTOESIGNATED

Field activities

TOTAL


GRAND TOTAL

2Д 15

24 15

35 17

35 18

169 575 А93 877

183 013 Л68 616

210 965 5 U 770

240 965 977 537

7 LA

7 51

7 46

22 400 265 738

24 590 305 552

24 589 265 472

AFRICA


Total

AMERICAS


Total

SODTH-EAST ASIA


Total

EUROPE

Regional Office

Field activities

Total



Total

WESTERN PACIFIC


Total

REGION UTOESIGNATED

Field activities

TOTAL


GRAND TOTAL

39 52 53 663 Л52 651 629 725 935 1 218 502 51 58 53 288 138 330 142 290 061

AFRICA


Total

AMERICAS


Total

SODTH-EAST ASIA


Total

EUROPE

Regional Office

Field activities

Total



Total

WESTERN PACIFIC


Total

REGION UTOESIGNATED

Field activities

TOTAL


GRAND TOTAL

34 65

34 90

37 93

37 114-

203 608 666 568

218 886 810 001

229 216 1 обо 772

229 21i 1 365 836

16 110

18 132

18 119

A4 608 1 097 688

46 719 1 027 069

49 146 1 030 7S1

AFRICA


Total

AMERICAS


Total

SODTH-EAST ASIA


Total

EUROPE

Regional Office

Field activities

Total



Total

WESTERN PACIFIC


Total

REGION UTOESIGNATED

Field activities

TOTAL


GRAND TOTAL

，9 124 130 151 870 176 1 028 887 1 289 988 1 595 052 126 150 137 1 142 296 1 073 788 1 079 927

AFRICA


Total

AMERICAS


Total

SODTH-EAST ASIA


Total

EUROPE

Regional Office

Field activities

Total



Total

WESTERN PACIFIC


Total

REGION UTOESIGNATED

Field activities

TOTAL


GRAND TOTAL

29 39

33 39

33 A4

33 45

222 400 528 290

2ЛЗ 762 531 978

254 073 669 051

254. 073 826 628

11 55

12 77

12 70

53 700 боб 100

56 657 796 833

61 227 996 529

AFRICA


Total

AMERICAS


Total

SODTH-EAST ASIA


Total

EUROPE

Regional Office

Field activities

Total



Total

WESTERN PACIFIC


Total

REGION UTOESIGNATED

Field activities

TOTAL


GRAND TOTAL

68 72 77 78 750 690 775 740 ？23 12Л 1 080 701 66 89 82 659 800 853 490 1 057 756

AFRICA


Total

AMERICAS


Total

SODTH-EAST ASIA


Total

EUROPE

Regional Office

Field activities

Total



Total

WESTERN PACIFIC


Total

REGION UTOESIGNATED

Field activities

TOTAL


GRAND TOTAL

12 2k 28 28 102 919 394 442 509 163 509 163 1 11 11 10 000 110 683 118 941

AFRICA


Total

AMERICAS


Total

SODTH-EAST ASIA


Total

EUROPE

Regional Office

Field activities

Total



Total

WESTERN PACIFIC


Total

REGION UTOESIGNATED

Field activities

TOTAL


GRAND TOTAL

192 298

199 35?

214 374

2U 429

1 330 718 3 721 653

1 434- 448 ： 4 3^7 408

1 388 5 278 210

1 527 388 6 7Л5 990

78 Л52

a 627

81 622

261 329 4 24-9 821

27^ 581 5 978 875

289 149 5 923 334

AFRICA


Total

AMERICAS


Total

SODTH-EAST ASIA


Total

EUROPE

Regional Office

Field activities

Total



Total

WESTERN PACIFIC


Total

REGION UTOESIGNATED

Field activities

TOTAL


GRAND TOTAL m 558 588 643 5 052 371 5 801 856 : 6 775 598 8 273 378 530 708 703 Д 511 150 6 255 45^ 6 2U 483

SB17/AF/3 Rev.l Appendix 1 page 2

OTHER EXTRA-BÜDQETARY FUNDS AUTRES FONDS EXTRA-BUDGETAIRES

TOTAL

REGION Nrjnber of posts Nombre de postes

Estimated expenditure Prévisions de dépenses

Number of posts Nombre de postes

Estimated expenditure Prévisions de dépenses REGION

1955 1956 1957 1955 1956 1957 1955 1956 1957

withoxrt supplement sans STçplément

1957 with supplement avec supplément

1955 1956 1957

without supplement sans supplément

1957 with supplement avec supplément

REGION

3 525 100' 3 224- 700 3 9S7 000 30 62

33 112

ЗЛ 123

34 138

2厶8 110 A 270 854-

271 8Д9 Д 174- 2Л0

275 195 5 177 737

275 195 5 415 956

AFRIQUE

Bureau régional Activités dans les pays

Total

AMERIQUES

Bureau régi眷nal Activités dans les pays

3 525 100 3 22Л 700 3 987 000 92 1Л5 157 172 A 518 964 4 Л46 089 5 452 932 5 691 151

AFRIQUE


Total

AMERIQUES


136 205

135 209

135 200

1 114- 503 A (Ли 619

1 161 250 k 223 4Л6

1 150 613 5 103 026

190 337

189 366

189 360

189 370

1 527 303 6 353 679

1 602 329 6 20Д 940

1 601 8Д1 7 295 657

1 601 841 7 511 331

AFRIQUE


Total

AMERIQUES


341 ЗД4 335 5 789 122 5 384 696 6 253 639 527 555 549 559 7 880 982 7 807 269 8 897 498 9 113 172 Total

ASIE DU SUD-EST


T»tal

EUROPE


Tetal

MEDITERRANEE ORIENTALE

Bureau régienal Activités ¿ans 3es pays

26 14 2 426 0Г5 2 707 340 2 780 000 65

241 65

292 65

285 65

292 21Л 846

4 201 575 224 47Д

5 677 415 230 898

5 432 Л97

230 898 5 521 176

Total

ASIE DU SUD-EST


T»tal

EUROPE


Tetal



26 U 2 426 095 2 707 340 2 780 000 306 357 350 357 4- 421 5 901 889 5 663 395 5 752 07Л

Total

ASIE DU SUD-EST


T»tal

EUROPE


Tetal



769 500 871 000 853 000 31 5?

31 66

42 63

Л2 64

191 975 1 529 115

207 603 1 645 168

235 55Л 1 633 442

265 554 2 096 009

Total

ASIE DU SUD-EST


T»tal

EUROPE


Tetal



769 500 871 000 853 000 ？0 97 105 106 1 721 090 1 852 771 1 868 996 2 361 563

Total

ASIE DU SUD-EST


T»tal

EUROPE


Tetal


Bureau régienal Activités ¿ans 3es pays 34 2 925 315 1 173 932 1 527 600

50 209

52 22Л

55 212

55 233

24-8 216 2 689 571

265 605 3 011 002

278 362 3 619 153

278 362 3 92Л 217

Total

ASIE DU SUD-EST


T»tal

EUROPE


Tetal



ЗЛ 2 925 315 1 173 932 1 527 600 259 27^ 267 288 2 937 787 3 276 607 3 S97 515 k 202 579

PACIFIQUE OCCIDENTAL


Total

REGION NON DESIGNEE

Activités 鈸ans les pays

11 5 3 809 200 709 119 313 098

40 105

45 121

Д5 117

45 IIS

276 100 1 9ДЗ 590

300 Л19 2 037 930

315 300 1 978 678

315 300 2 136 255



Total

REGION NON DESIGNEE


11 5 3 809 200 709 119 313 098 1Л5 166 162 163 2 219 690 2 338 349 2 293 978 2 451 555



Total

REGION NON DESIGNEE

Activités 鈸ans les pays 13 35 39 39 112 919 505 125 628 104. 628 10Л



Total

REGION NON DESIGNEE


¡ i -

-O M

H 卜

¡ VJJ

ÍO

о

135 230

135 203

1 114- 503 13 129 829

1 161 250 12 909 537

1 150 613 U 563 72々

A06 1 026

415 1 216

Л30 1 199

430 1 25Л

2 706 550 21 101 303

2 872 279 23 255 820

2 937 150 25 765 268

2 967 150 27 233 0Д8

TOTAL

Bureaux régienaux Activités dans les pays

¡ i -

-O M

H 卜

¡ VJJ

ÍO

о

365 338 1Á ILL 332 1Л 070 787 15 71Л 337

r 1

1 432 1 631 1 629 1 684 23 807 853 26 128 099 28 702 a 8 30 200 198 -.“. —―― • i i •' _ • » *

TOTAL GENERAL

Regular F u n d s一B u d g e t ordinaire Without supplement � � � � 圓 ( ” Sans supplément

Techn i ca l A s s i s t a n c e — A s s i s t a n c e technique � With supplement

fnÏÏIÏÏÏÏÏÏl U N I C E F — FISE Avec supplément

Appendix 4 Appendice 4

Chart 2 一 Graphique 2

A M O U N T S A U T H O R I Z E D F O R U S E B Y W H O , 1950-1956

A N D A M O U N T S E S T I M A T E D F O R 1957

M O N T A N T S Q U E L'OMS A É T É A U T O R I S É E A UTILISER D E 1950 A 1956

E T M O N T A N T S P R É V U S P O U R 1957

03'

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Chart 3 Graphique 3

PROPOSED USE OF 1967 BUDGET. B Y PERCENTAGES

( W I T H O U T SUPPLEMENT)

INDICATION, EN POURCENTAGES, DES UTILISATIONS PROPOSEES POUR LE BUDGET DE Ï957 (SUPPLEMENT NON COMPRIS)

Append ix 4 A p p e n d i c e 4

RegioBAl Offices

11 e Bureaux régionaux Central Technical

14.95* Techniques

Service!

Administrative Scnrices

8 .72*

Services administrotif»

Chart 4

Graphique 4

PROPOSED USE OF 1957 BUDGET, BY PERCENTAGES

(WITH SUPPLEMENT)

INDICATION, EN POURCENTAGES, DES UTILISATIONS PROPOSEES POUR LE BUDGET DE 1957 (SUPPLEMENT COMPRIS)

Oiganizatioaal Meetiagi

2 . 8 0 * Réunions constitutionnel les

A p p e n d i x .

A p p e n d i c e 5

5

Chart 5

Graphique 5

APPROVED USE OF 1956 BUDGET, BY PERCENTAGES

INDICATION, EN POURCENTAGES, DES UTILISATIONS APPROUVEES POUR LE BUDGET DE 1956

Central Technical Service! 17.31*

Services Techniques Regional Offices 14.00*

Régionaux

Administrative Services

10.17*

Services administratifs

OiginizAtioaJil Meetings

3 . 佛

Réunions constitutionnel le»

AdvUory Services

53.531k Services consultatifs

Appendix 4 A p p e n d i c e 4

Chort 6

Graphique

IPPICTIVl WORKING BUDGKT8 PORIMi AMD 1MM < THAT PBOPOSID КЖ 1M7 (IT •PPMOKUTION 8КСГЮМ)

BUDGETS EFFECTIFS DE 1955 ET DE 1956 COMPARÉS AVEC LE BUDGET EFFECTIF PROPOSÉ POUR 1957 (PAR SECTION DE LA RÉSOLUTION PORTANT OUVERTURE DE CREDITS) I13.9M.M0

拿 io,m,eu

UNIC1F FISE

•trrioM

SwrieM

Off-

.411.000

• 1T.4M.

ÊMfL IMS

UL

.S00.000

-4Ш.m. $io.aos.4io $ю.яоа.ом

.Ш

Opérations dans les pays

1Щ iff

� ’ � � � 、、0 、Л \ 11 m 、分: о

\\、、乂、 \ \

\ ^ S \ \ \ \ 4 \ \ Ч

4 4

ччч

= 1 fm 010三

Appendix 7

Appendice :

EB17/AF/3 Rev.l

APPENDIX 8

PROPOSED PROGRAMME AND BUDGET ESTIMATES FOR 1957 REGULAR BUDGET

A detailed analysis, by main organizational units and purposes of expenditure，

ef the differences between the approved 1956 regular budget and the proposed 1957 programme and budget estimates is submitted in the following summary table and

Annex I,

A schedule showing the estimated costs of projects for the years 1956 and

1957 is attached as Annex II. It should be noted, however, that projects composed

of fellowships only have been shown separately alt]iou^^xn--iuai33r cas e s they.xepresjant

continuing activities 土饥 ü^^ccMintries сопоедаи.. This is particularly so in the

case of the European Region,

The information given follows the same pattern as the details given in

Official Records No. 66榦

EB17/AF/3 Rev.l Appondlx 8 pages 3/4

COMPARISON OF PROPOSED REGULAR PROaRAMME AND BUDGET ESTIMATES FOR 1957 WITH APPROVED P R O _ M M E AND BUDGET FOR 1956

No. of posts Organizational Unit or function I956 1957 1

Increases or decreases 1957 compared with 1956 - 1 9 5 6 1957 Amounts Percentages

Without With -

Without With Without With Without With Supplement Supplement Supplement Supplement Supplement Supplement Supplement Supplement

ORGANIZATIONAL MEETINGS

World Health Assembly- I83 880 195 '880 199 200 12 000 15 520 6.53 8.3)

ь Executive Board and its Committees 109 J>J>0 109 35O 111 13О - 1 800 - 1.65 Regional Committees 62 800 51 780 52 I8O (11 020) (10 620) (17.55) (16.91)

TOTAL - ORGANIZATIONAL MEETINGS 356 010 З56 990 362 510 98О 6 500 0.28 1.83

a 241 241 CENTRAL TECHNICAL SERVICES 1 766 6)3 1 917 312 1 939 012 15О 679 172 579 8.5) 9.76

ADVISORY SERVICES

107 108 108 Headquarters 1 095 686 1 129 176 1 129 176 55 490 35 490 3.24 3.24

359 Л1 Í29 Field 4 367 ^08 5 278 210 6 7^5 990 910 802 2 378 582 20.85 54.46

466 •• in >n.i

482 537 TOTAL - ADVISORY SERVICES 5 461 094 6 407 386 7 875 166 946 292 2 414 072 17.33 43.56

1 m 214 214 REGIONAL OFFICES 1 ^ 448 l 497 388 1 527 588 62 9^0 92 9^0 4 0 9 6.48 1 m

EXPERT COMMITTEES 147 200 151 900 131 900 (15 300) (15 300) (10.39) (10.39)

ADMINISTRATIVE SERVICES

(15 300)

38 38 38 Offices of the Director-General 37斗 007 454 556 454 556 80 5 斗9 80 5 斗9 21.54 21.54

2i 92 92 Administration & Finance 663 692 676 068 676 068 12 376 12 37б 1.86 1.86

131 130 150 TOTAL - ADMINISTRATIVE SERVICES 1 037 699 1 15О 624 1 130 624 92 925 92 925 8.95 8.95

i 030 1 O67 1 122 GRAND TOTAL 10 203 084 11 441 600 12 966 600 l 238 516 2 763 51-6 12. ЗЛ 27.08

1 Denoted by ( )

2. Ifetailed Analysis of Increases and Decreases， by Main Organizational Units or

Functiaas and Purpose of Expenditure

ORGANIZATIONAL MEETINGS

Organizational unit or function

-personal

services

and

allowances

Travel and transpor-tation

Space and equipment services

0tnsr

services Supplies

and materials

Acquisition of

capital assets

Total

US $ US $ US 1 US $ US $ us % - - US $

orld Health Assembly Supplement 1 320 2 000

— — 12 000 12 000 3 320

Total 1 320 2 000 - - • 12 000 15 320

xiecutive Board and its Committees Supplement 1 800

一 - -

1 800

Total 1 800 - - - 1 800

agional Committees: Africa The Americas South-East Asia Europe Eastern Mediterranean Western Pacific

ОО

О

〇

О О 1

! rH卜

汽

О

Nw •H

H

u； н

U) ^ aj ю

о

ю

h ^

чо m

(200)

(1 200) 500

(1 500)

(6OC)

(1 000)

1 000

(420)

1 830

(500)

(50) (500)

(1 700)

700 (1 000)

2 030

(2 900； (11 700)

3 450 (4 770: 4 900

Supplement 一 Еш*оре (1 100)

400 (7 310) (2 400) 310 (2 550) 2 030 (11 020)

400

Total - Regional Committees (700) (7 310) (2 400) 310 (2 550) 2 030 (10 620]

TOTAL 一 ORGANIZATIONAL MEETINGS 2 420 (5 310) (2 400) 310 9 450 2 030 6 500

EB17/AF/3

？H

A^f>erKiix g

fmm^t^ •-> •

,?

.1 Hm

waTOe 5

ANNEX .1

CENTRAL TECHNICAL SERVICES

г•• _.丨丨 Number of

posts Organizational unit or function Personal services

Duty travel

Consultants' fees and travel

Various Total I956 1957

Organizational unit or function Personal services

Duty travel


Various Total

US $ US $ US $ US $ US $

10 12 Office of the Assistant Director-General 10 978 470 - - 11 448

Epidemiological and Health Statistical Services

2 2 、Office of thfe Di?oator 98 一

98 11 1 1 International Quarantine 1 26I ‘ -

(1 200) _ 61 13 13 Epidemiological Intelligence

Station, Singapore 661 - - _ 661 19 20 Epidemiological Information a M

Morbidity Statistics 4 844 (5Ю) 7 200 — 11 534 3 3 International. Classification of

Diseases and Causes of Death 356 (500) (4 (斗 964) 6 7 Statistical Studies 4 120 (1 200) 2 920

Therapeutic Substances

2 2 Office cf the Director 498 (2 115) 一

_ (1 617) 4 4 Biological Standardization 685 (850) 2 400 — 2 235. 5 5 Pharmaceutical Section 721 710 2 400 _ 3 8)1 2 2 Addiction-producing Drugs 336 1 210 (1 200) - 3M6 3 4 Health Laboratory Methods 2 910 1 620 - 麵 4 530

52 52 Tuberculosis Research Office, Copenhagen 4 894 - - - 4 894

CENTRAL TECHNICAL SERVICES (continued)

Number of posts Organizational unit or function

Personal services

Duty travel

Consultants' fees and Various Total

I956 1957 Organizational unit or function

travel

Editorial and Reference Services


H H

И M

V>l

00V

J1

ГО

32 17 5

18 14 18

Office of the Director Documents and Official Records Health Legislation Library and Reference Services Technical Publications Translation

Common Services

卜

OJ

ГЛ

ЧО

RH

CVJ

C\L RH

LO

VO

cr\ 卜

40 00 tn

OJ CVJ

гН ЧО a\ -

-

-

VO CTN м

го

го

VJ1

00

0\Ч0

-о VÛ

ON

U1 M

ГО 4=-

го

M ON。VÛ

го

Headquarters Singapore Copenhagen

7 550

(5 644)

7 550

(5 644)

Statutory Staff Costs 71 152 37 152

Grants, Contractual Technical Services, etc. 100 100

Other Costs 53 591 53 391

Add: Staff turnover 228 228

Less： Lapses in effecting replace-ment ánd delays in filling new posts (2 703) (2 703)

Supplement - Other Costs 56 970 35 3 600 90 074

21 700 150 679 21 700

241 二一：：

TOTAL , CENTRAL TECHNICAL SERVICES 56 970 35 3 600 1

TT1.J •„ r . l K T 5 = ±

111 774 172 379

ЕЭ17/>Г/3 Bbv._I

Appendix 双

FISTOe

~J

Annex H

ADVISO.RY SERVICES (HEADQUARTERS)

Nimber of 1

Personal Duty- Consultants'

种 ¿ Organizational unit or function services travel fees and Various Total 1956 1957 travel

¡ US $ US铋 US $ US $ US $

17 17 Office of the Assistant Director-General 1 195 416 1 611

‘ Communicable Disease Services

1 4 h Office of the Director 339 412 (4 800) (4 0U9Í 5 5 Malaria and Insect Control 500 1 046 1 546 5 5 Tuberculosis 623 78 2 400 3 101 5 5 Venereal Diseases and Treponematoses 910 352 4 800 6 062 6 6 Endemo-epidemic Diseases 982 685 - 1 667 2

i 2 Veterinary Public； Health 300 - (1 200) (900)

Organization of Public Health Services

2 2 Office of the Director 465 (322) 143 6 6 Public Health Administration 984— 1 630 2 _ 5 014 3 3 Nursing 586 628 - 1 214 2 2 Social and Occupational Health 340 42 1 200 1 602 3 3 Health Education, of the Public . 636 (665) (600) (629) 5 5 Maternal and Child Health 774 590 (7 200) (5 836> 4 4 Mental Health 561 (1 441) 2 Щ) 1 520 3 4 Nutrition 3 071 299 (3 600) (230)

丨ID t f t

ID Environmental Sanitation 1 675 520 10 800 12 995

EB17/AF/3

wava

A 节--oendix00

piage

8

H

HI

.t-$tns

ADVISORY SERVICES (HEADQUARTERS) (continued)

Number of posts

1956 195?

Organizational unit or function • Personal services

Duty travel


Various Total

US $ us 1 US $ US $ US $

Education and Training Services 、

2 2 Office of the Director im (580) - (180) 4 4 Fellowships . 677 634 1 311 3 3 Exchange of Scientific Information 259 326 585 3 3 Assistance to Educational Institutions (4 871) 220 (4 651)

5 5 Office of Reports and Analysis 274 - - 274

8 8 Office of Supply 1 257 (450) 807

Common Services at Headquarters 1 969 1 969


Grants, Contractual Technical Services, etc. (9 200) (9 200)

Other Costs (1 200) (1 200)

Add: Staff turnover 2A3 243

Less: Lapses in effecting replacement and delays in filling new posts . 2 129 2 129

107 108 Total - ADVISORY SERVICES, HEADQUARTERS 11 937 4 4A0 6 600 12' 513 c==s==Ssx==：-

35 490 二二 SESSS：

•oag-fl)vo

Annex

nkábrrro it

乜 M CD

â > M

» ф <

ADVISORY SERVICES (F3EUD)

.Organizational unit or function

Regional Advisers, Area Representatives^ etc

Africa The Americas South -East Asia Europe Eastern Mediterranean Western Pacific

Add; Staff turnover

Less; Lapses in effecting replacement and delays in filling new posts

Total — Regional Advisers, Area Representatives e t c —

Personal • services

and illowance#

Duty travel Other travel

Various Total

US $ ÏÏS $ us 1 US § US §

20 922 1 обо (4 500J 17 231 5 23З — (3 630) — 1 558

16 222 3 085 3 520 2 520 25 077 2 719 1 500 16 960 (10 999) 10 ISO 4 076 2 ООО 1 640 (2 2Л0) 5 Л76

17 703 1 ООО 5 650 (50) 2Л 303

1 428 1 428

k Л20 Л 420

71 300 8 6Д5 19 790 (10 062) 89 673

Number of posts

l-?56 1957

15 16

19 19 36 38

15 17 25 25 19 21

129 136

EB17/AF/3 RevH

8

节acrae Ho

Annex H

Including consultants1

fees


Number of posts 1956 1957

Organizational unit or function Personal services

and allowances

Duty travel Other travel

Various Total

iH CN2 vO ! tO СЛ

tü CV СЛчО

vû CN¿ CM

ST СЛ

Î lA。々

H

СЛ Г>

MD Oí

Field Activities Tfithout SuppleTnent

Africa The Americas South-East Asia Europe Eastern Mediterranean Western Pacific Region Undesignated

Less: Delays in implementation of new projects

•

US ^

59 99U 12 9A2 28 985 (Л 735) 89 471 21 130 36 167

(42 813)

US $

1 798 (1 A4I) 5 600

(2 341) (506)

15 Л00

US $

19 400 6 790

32 353 (3 615) 5Л 145 (9 653) 14 300

US畚

72 950 97 215

(390) 46 Л75

124 993 108 320 38 200

US $

154 14.2 1.15 506 66 548 33 125

266 268 119 286 104 067

(42 813)

230 238

Field Activities Tfithout SuppleTnent

Africa The Americas South-East Asia Europe Eastern Mediterranean Western Pacific Region Undesignated


• 201 141 13 510 113 715 Л87 763 821 129

> ^ l> t?d g P и td 5 OQ та и <D CD (D <

M M и-; X ^

Including consultants1

fees' ㈤

M


Number of posts

1956 1957 Organizational unit or function

Personal services

and allovrances^

Duty travel Other travel Various Total

US镑 US $ US S US § US径

Field Activities (continued) Supplement

15 10 7 1

21 1

.Africa The Americas South—East Asia Europe Eastern Mediterranean Western Pacific


118 466 39 498 64 82Д 38 758 134- 172 18 269

(104 757)

7 320 27 950 23 500 12 600 28 Л15 46 355 10 soo

111 500 122 300 2A 760

397 300 114 800 130 450

265 736 235 298 102 184 АвА 473 ЗЛ5 327 159 519

(104 757)

55 Total Ф9 230 7 820 149 620 901 110 1 Л67 730

Total . Field Activities 610 371 26 330 263 335 1 383 873 2 288 909

359 Л29 TOTAL - ADVISORY SERVICES, FIELD 681 671 34 975 284 553 1 377 383 2 373 5S2

л

bicluding consultants1

fees

REGIONAL OFFICES

(11 282) 30 41 37 24 34 33

31 Africa 41 . The Americae 37 South-East Asia 35 Europe 37—-.-- Eastern Mediterranean 33 Western Pacific

Add: Staff turnover

Less： Lapses in effecting replacement and delays in filling new posts

199 214

Supplement - Europe (contingency)

TOTAL - REGIONAL OFFICES

(8 134)

58 440

58 440 二 = = Ж 2 ： - = = = ：这

2 490

(8 134)

26 309

2 4 9 0 26 309

(24 299) 62 940

30 ООО 30 ООО

5 701 92 940

Number of posts ；

1956 1957 Organizational unit or

function

Personal services and allowances

Duty travel

" Ü T F

Other travel

"шТ

Various Total

US $ US $

2 750 (13 780)

(37) (1 950)

3 832 6 920

3 595 36 886 12 320 7 521

\l/ N1/

41/

о 6

о

5 о о

沙5046^5738

•6(3345

/V 2

/V

990

700 1 800 (1 ООО)

7 834 7 426 4 305

26 791 15 127

5 091

AEMINISTRATIVE SERVICES

Number of Personal Duty- Consultants1

posts Organizational unit or function (Services travel fees and Various Total

1956 1957 travel

US $ US $ US $ US $ US $ Offices of the Director-General

US $ US $

8 8 Office of the Director-General 732 - - 732

15 15 External Relations and Technical Assistance 2 6OI - - 2 601

15 15 Public Information 2 598 210 - 2 808


Other Costs 61 950 61 950

Common services

Headquarters 29O 290 New York -

Add: Staff turnover 93 93

Less： Lapses in effecting replacement • • • - -. . ~ - - • •

• ••- • - “ .

and delays in filling new posts 1 147 1 147 ‘

38 38 Total- Offices of the Director-General 5 931 210 Jb 408 80 5斗9

Administration and Finance

4 Office of the Assistant Director-General 446 • 446

6 6 Legal Office 966 9бб

5 6 I n t e m a l 丨 Audit 3 610 3 970 7 580

ADMINISTRATIVE SERVICES (Continued)

Number of posts Organizational unit or function

Personal

Services

Duty

travel

Consultants'

fees and Various Total 1956 1957

Organizational unit or function travel

Total

Administrative Management and Personnels


ru G

СТ

\ го

Office of the Director Administrative Management Personnel

Conference and Office Services

Budget and Finances

1Ш H

гЧ

(700) (300) (480)

D o o ) 596

1 129 1 435

2 8

25

2 7

24

Office of the Director Budget

Finance and Accounts

Statutory Staff

365 (1 970) (2 870) 1 320

565 (1 970) (1 550)

5 415

Common Services at Headquarters U 9 119

Add: Staff turnover (93) (93)

Lesss Lapses in effecting replacement and deisms in filling new posts • 238 238

93 92 Total - Administration and Finance 4 887 5 810 5 679 12 776

151 150 TOTAL - AIWINISTRATIVE SERVICES 10 818 4 020 78 087 92 925

EBX7/AF/3 I¿0Vel

Aüpendix 8 page 丄 7

A^ÍEX II

£STBIAT¿D C03T OF P30J¿CT3 FOR. TH2 Y3ARS 195.6 M ü 1957 INCLUDING TH¿ БиРРШЩЫТ

(Regular Budget)

• . • • • . . . . • •••• » ‘ •• - • •. •

I956 Estimates 1957 Estimates

‘ • Continuing Projects

Individueil Fellowships constituting Projects

in themselves

New Projects . Ceritinuing Projects

Individual Fellowships constituting Projects

in themselves

New Projects Individueil Fellowships constituting Projects

in themselves

Without Supplement

Supplement Vvithout

Supplement Supplement

1 1 $ $ ！1

AFRICA

Апдгla, Mozambique and Portuguese Guinea s

Malaria and Insect Control Tuberculosis Venereal Diseases and Treponematoses Enderno Epidemic Diseases Public Health Administration Nursing Maternal and Child Health Mental Health Nutrition , E m

7

! то riment al Sanitation

3 150

1 350 1 350

2 700 8 100 2 700 8 400 8 400 2 700 2 ?00 2 700 5 400

11 400

Basut ' land

Nutrition Survey and Control 19 292 27 909

Bechuanaland

Health Education of the Public: Development of Rural Health

Services Environmental Sanitation

18 920 2 600

21 624

Belgian Сопдс and Ruanda Urundi

Endomo-Epidemic Diseases 5 400 5 400 •

French ^cruatorial Africa

Sndemo -Epidemic Diseases: Leprosy 1 300 1 300

EB17AF/3 Rev Л A bendije 8 ——ляш ； i.-*» гт、’-« у»аь»л

page 18 •

Annex II

French Afrie a ( Unde signâted)

Endemo-fipi'demic Diseases Health Education

1

of the Public

Garribia

Sndemo-liipiderniс Diseases: Lepir sy Control Trypanosomiasis

&:ld O a s t

Sndemo-Epiciemic Diseases: Bilharziasis and Onchocerciasis

Pienya

3ndem_-Ëpidemic Diseases : Bilharziasis

Public Health Administration: Rural Health

Health Education of the Public: C'mmunity Development

Maternal ana Child Health: Services

Nutrition Social and Occupational Health

Liberia

Public Health Administration: Rural Health Centres

Mauritius

1956 Estimates

Continuing Projects

I

Individual. Fellowships constituting Projects

in themselves•

2 700

2 TOO

Nursing: Personnel Training

Other Projects 11 377

1957 Estimates

New Projects Continuing Projects


in themselves

• Wit腿t… Supplement

Supplement

New Projects

Without Supplement

Supplement

1 300 2 600

1 300

9 079

21 600 2 700

2 700

2 700

3 000

9 000

'•9

36 438

7 900

9 135

6 500

5 200

57 666

EB17/AF/3 Rev. l Appendix 8 page 19

Annex 11

•• • - • • . . . . ” . . • ... 1956 Estimates 1957 Estimates

Continuing Projects

-Individual Fellowships constituí in; Projects '

in themselves



in themselves

New Projects

Without Supplement

Supplement Without


Nigeria ...... 1 i

Ú

f. $

Malaria Control ¿ndemo-Epidemiс Diseases:

Leprosy-Smallpox Control

¿¡nviro.niriental Sanitation: Water Supply

9 433

19 227

5 200

11 135

18 306 3 900

St Helena

Tuberculosis Control Public Health Administration:

Laboratory Services ; 3 900

• 8 088

Seychelle Islands

Environmental Sanitation 3.3 767 1 37 451 *

Sierra Leone

Endem•-Epidemic Diseases Public Health Administration iCnvironmental Sanitation

3 000 5 600 1 200

Somaliland *

i , ； ••-Nursing:

Personnel Training • 9 626

Tanganyika

Kursing 6 000

Uganda

Nutrition

i

18 580

Î

• . r - - . .

21 785

EB17/AF/3,Rev.l ¿ppe^lx 8 page- 20-

37 850

1956 Estimates


in themselves

Annex II

Continuing Projects

Union of South Africa

Sndemo• -£pidemiс Diseases Public Health Administration Nutrition Environment al Sanitation Other Projects:

Medical Training

工nter—Courrtry Pr^rammes

Malaria and Insect Control (Technical Meeting)

Malaria Course (French) Malaria Course (English) Tuberculosis Seminar îndemo-fîpidemiс Diseases:

Bilharziasis

Leprosy Survey and Control Public Health Administration:

Seminar on Vital and Health Statistics

Vital and Health Statistics Public Health Administration Course Public Health Administration

Fellowships Health Education of the Public :

Seminar Maternal and Child Health:

Consultants]

Visits Nutrition

TOTAL AFRICA

4 бОО

140 396

1957 Estimates



in themselves

without Supplement

Supplement

New Projects

Without Supplement

Supplement

3 900

3 000

14 700

9 900

159 789

4P

8 100 8 100

10 000 10 000

5 400

10 000

92 700

28 000

1 0 5 0 0 0

12 000

7 800

7 800

94 599

sf

19 005 39 672

20 705

160 736

2 700 5 400 2 700 2 700

2 700

000


Annex II

I956 Estimates 1957 Estimates

Continuing Projects

.Individual Fellowships constituting Projects

in themselves

New Pro'jects Continuing , Projects


in themselves

New Projects

' :

Without Supplement

!

Supplement Without Supplement

Supplement

AMERICAS ；

$ Ф : $ : $ $ $ $

Argentina

Public Health Administration: Malbran Institute

Nursing 'Education .9 000 16 J86

1

20 569 9 oor

Bolivia .. Í-...

Nursing Education Maternal and Child Health:

Children's HospitalLa Paz

19 335 20 a64

24 147

Brazil

Public Health Administration: National Drug Service

Maternal and Child Health School of‘Public Health Environmental Sanitation

13 626 8 000

5 2 0 0 24 426

л •

8 000 .. .

14 226

Chile

Nursing . Maternal and Child Healths Demonstration Centre if or Care of

Prainatures Social and Occupational Health:

Rehabilitation Centre

12 440

13 753 13 291

13 142

62 157

Costa Rica

Maternal and Child Health 4 8 5 4 8

Continuing Projects

I956 Estimates

• . .. • - . . . - •• • • - •‘ -• * «п

1957 Estimates


in themselves



in themselves

New Projects Individual Fellowships constituting Projects

in themselves


Without Supplement


Supplement

$ •1 $ 1 $

2 500 2 500 ....-:..；_ ..- .

29 828' 14 387 21 684 14 387

- 2 1 9 4 3

50 969

• • . . . 二：

, 广：： .

17 422

11 825

' . '、•. . . . . . . ,

4 0 0 0 1 000

-：• • ...... • ... 、

““• • .•、•:. ；‘

42 719

37 615

•

i

3 800

i

. • ！

1

. . . i

. ;

• • i

Ecuador »

Tuberculosis:Teaching Centre Rural Public Health Services Nursing Teaching of Veterinary Public Health

Guatemala

Rural HealtH: Services Training of Auxiliary Nurses

Haiti

Venereal Biseases and Treponematoses Nursing:

Training of Midwives

Mexico

Endemo—Epidemic ûlseases: Virus Centre

Public Health Administrationî Integrated Health Services

Nicaragua

Nursing Education

Paraguay

Endemo-Epidemic Diseasesl Leprosy


Annex II

$

30 659

36 945 16 420

22 121

3 290

34 858

32 875

3 800

Continuing Projects

$

1957 Estimates


in themselves

New Projects

Without Supplement


Supplement

$ $ 1 $

5 000

- • r

. •• t. • 11 277

6 050 15 370

12 ooe 12 500

7 000

-14 800

12 450

11 900 26 300

Uruguay

iindeino-EpidGmic Diseases: i'Jational Zoonoses Institute

i>íurGin¿ Eaucatiorr

'iliter-Cti^try- Programies

\iun.jreal Diseases: *•• ‘ Seminar • • . . " • • • .:••，: ••

Бrueellosis training Uabies Control Vaccine Testing Seminar on application of

International Sanitary Regulations

Poliomyelitis Plague Training Course Laboratory Biological

Facilities Latin- American Centre for

Classification of diseases Health Statistics Assistance to School of Nursing 4th Regional Nursing Congress Advanced Nursing Education Workshop on Nursing Education Cultural Anthropology Health Education Seminar on Paediatric Education Seminar on Mental Health Environmental Sanitation Training vfetcrvorks 'Training Course Medical and Public Health Education

I956- Est images-

Continuing Projects

$

14 281 3 730

12 200

24 313

14 543

12 314 22 I92

61 951 14 240 48 200

Individual Fellowship's constituting Projects

in themselves

12 500

7 000

2 500

New Projects

EB17/AF/3 Rev.l Appendix 8 Page 23 . , ...，•

Annex II

24 594 3 730

12 200

24 522

562

617 7Ô6

22

11 20

69 000 28 480 48 200


Annex II 一. 一一

I956 Estimates I957 Estimates

• ‘ ‘： ‘ . t .

Inter-Country Programmes (continued)

Seminar on Teaching of Prevervbive Medicine

> ；

Veterinary Medical Education Seminar on Teaching tf Public Health in

School of Veterinary Medicine

TOTAL -AMERICAS

Continuing Projects


in themselves

j ’

i\[ew Projects -

Continuing Projects

Individual Fellowships constituting Projects i in themselves

New Projects

• ‘ ‘： ‘ . t .



> ；



TOTAL -AMERICAS

Continuing Projects


in themselves

j ’

i\[ew Projects -

Continuing Projects

Without Supplement


Supplement • ‘ ‘： ‘ . t .



> ；



TOTAL -AMERICAS

Ф

21 800

找‘

Ф . # 1

i

1

7 800 15 450 - •‘

$ :

•• i

• ‘ ‘： ‘ . t .



> ；



TOTAL -AMERICAS 476 133 45 500 50 226 573 245 _•, , .i

:50 550 - 63 570 к

235 298

SOUTH-EAST ASIA

Afghanistan

Strengthening Nati nal and Proírincial Health Administration

Pu lie Health Legislation Medical Stores Management Assistance to Central Directorate in Nursing Environmental Sanitation:

Assistance to Central Health Directorate Faculty of Medicine j Kabul Refresher Course for Medical Officers

Burma

Leprosy Vital and Health Statistics Public Health Adviser Dental Health Medical Stores Management Selected .School о ' Nursing, Duffer in Refreshar Course:

Nursing Strengthening of Health Education Bureau Maternal and Child Healths

Fellowshios FAO/WHO Nutrition Project Post-graduate Ccurse ir. Public Health for

district Medical Officers

Ceylcri

Tuberculosis Adviser Leprosy Medical Stores Management .Medical Care

1956 ；stimates

Continuing Projects

15 694

12 526 45 889 1 070

13 10

8 9

8

9 о 9

о об

9 о 9

6 2

1

14 8 6 9

9

20 524

1 обо

.。817 25 344


in themselves

3 300


Annex II

1957 Estimates

New Projects

j

1 •

Continuing Projects

Individual ï ;llowships constituting Projects

in theras elves

New Projects

• Without Supplement

Supplement 1 - ï i t h S u t

Sirop 丄 enient •Supplement

è : . V $ $

11 354

8 791

11 366 1 0 053

14 853 • 4 4 685

8 0 0

13 901 10 400

9 60 .

• 3 9 0 0

11 378 :

690 9 618

19 294

3 300

ЯСС；.

i

f

1

21 725

3 9u. 3 90w

EB17/AF/3 .W.l:.

一 •^广一

page ^o

Annex工工

. 1957 Estimates ‘

； '.I.:-

M

— Continuing Projeots


in themselves

Projects Continuing: Projects


in themselves

New Projects

••'ithout jupplement

bupplement Without

bupplement Supplemen

—

‘ $ fi $ 澳 S Jé

$ •

Ceylon (continued)

Nursing: ‘ Assistance to Health Directorate

Colombo School of Nursing Mental Health Training of Anaesthetists and

Operating Room Nurses

9 815 7 Я00

23 083

7 784 7 486

5 200

3 ooo 19 629

India

P l a ^ e Research Trachoma Pilot Project Dental Health Combined Rural Health/Nursing Education, Assam

Public Health and Nursing Training， Andra Nursing Calcutta Nursing, Bombay . Post-graduate Course for Midwife Tutors Nursing:

Refresher Course Nursing Education Confe ence Refresher Course in Health Education at

Teachers 1

Training Institution Maternal and Child Health/Nursing^ Bihar Maternal and Child Health/Nursin。 Hyderabad Maternal and Child Health/^ursi.^, Madya

Pradesh Maternal and Child Health/Nursing,

Travancore-Cochin Maternal and Child Hoalth/Nursing, Uttar

Pradesh

11 250 14 386

15 493 28 231

2 750

46 034 30 779

32 881

23 157

30 817

3 900

8 611

2 600

12 963

32 487: 38 736"

15 424

2 060

18 341 17 233

36 014

26 989

25 885

3 510

3 510

3 510

2 360 1 890

1 14G

continued frcm U:

1IGE?

* I956 Estimates

. . . . . .,, . . . . .“ •. ...•••― ‘

. . . . . « — * ‘ . . . . . .. - .

• . 厂 " ' . " ñ . Г • •

- . . . - . - » •

Continuing ； Projects ........

Individual Fellowships ....constituting- .Projects

•in themselves

• • . . . . • - •• . . . \ . . . . ... .

a； •

India-(dontinued).—： • - - • — . • . . . . .

All-India Institute of Mental Health Nutrition . Public Health Engineering, Madras Seth G. S. Medical College Co-ordination of Research

‘ ！

Medical and Pùblic Health Advisory Services Paediatric Education ’:

25 485

i India (Former French Settlements) • ‘

Public Health Administration :

Environmental oanitaction ‘ ： » r • ‘

2 700 2 700

Indonesia

3C3 Demonstration and Training Leprosyi Plague； • Post-graduaté School .of Nursing

3 Bandung .

Gadja íáada University M^dan Medical School ：

• Medical ÎvSçhool^ .Sóurabaya

22 8B7':

" 10 739

27 842 21 569 21 510

Maldive iálands í. • - 會厂 • • • 》,

! . . . - •

Public Health Administration ！ ’ > ( , .• • - » _ • ‘ • • • , , , ' • ‘ * •“ • •

. . . . . • , - • " • , ‘ • ...

Nepal , 二 i —.

Malaria and In&o<yt Control 30 309

Contined frcm UNICEF

18 244

10 217

17 413 26 275 36 697

27 627

3 510

7 020

%

EB17/AF/3 Rev.i； Appendijf 8 •i i _ _ Ш11»в1ттттт 一 . page 27

Annex II

•New Projects

1957 Estimates

Continuing Projects'

Individual fellowships constituting Projects

in themselves

Without Supplement

Supplement Without


$

7 800 ‘ • , ^ •

11 786 23 400 32 458

21 378

00 3

3 900

ШП/к?/3 Rev.l Appendix 8 pa ge 28

Annex, II ： • . — •

«•• • • ‘‘ .

；一二 . . . 一

1956 Estimates 1957 Estimates í ：1 ‘

. « . . . . ‘ - - ‘ • . . - 一 .

. ‘ . . . , .

“ — . . • ‘ ， . . " .

Continuing Projects

Individual Fellowships constituting： Projects

in themselves

New Projects.. Continuing Projects


in themselves

New Projects • 1

. ‘* •:;“'.. • — ‘” л , , *• ‘ ‘' ‘ • • . • • . - �

••'..:..‘.. •• : • ：：；' ’ ’ . ‘； ‘ : - . . . . . .

Ï : : • • ..... • . Without


¥ithout Supplement

Supplônont il

• ; . - . . . •• “

. 一 4.. .• * , •：二.》 >V • ‘ . •

: . ¡ . " ， и у-- .‘

$ $ 慈 $ $ $

Thkïlancï 、. J.... 一 -i ; ....• i .

... ““ • r

Leprosy Control ； • School -Health Project, Chachoengsao Vital akid Health Stàtistics Dental Health Nursing

1

： j v

Rural ^Health Prôgràmme ； Assistance to Div.isiqn of Nursing , Fundamental Education Project^ Ubol Mental Hèalth Clinic Assistance to Schools Public Health

i s

. V

9 803 10 642

9 851

7 800 9 398

10 400

13 0 1 0

9 449

9 625 3 469

10 400

.* '.i •

11 в38 7 570

‘ : •

. • . - ':.

L - ‘1

• ••“.‘

. : i ！

7 800

Inter-6ountry Programmes •

Contiguous Area Problems in Malaria Control = R u r a l Hjealth 丨： D e n t a l Health ,Public pealth Administration:

г :

î Mass íC^paign”¿onsqlidation Team ÍMatern¿；

1

and Child Sealth Specialist ， ; . M e d i c a i Litprature У • •广 : . i. ..•. •：. -•J ... ；• - . • с ；.•

1 000

7 800 3 900

2 000

10 400 7 800 .

• ：：• •‘ > ••、’ ‘

22 471

13 523

. • í- • ::"• ,. . “ . ； .!

, ‘ . ： :.“'• • .y-, - - • •

•.,,..:,、. j "• • ：“V‘：：： • . j

i - : .. 1 • • ：

\ т о т - SOUTH-EAST ASIA 1. :• [ •

673 629 8 700 28 095 587 465 9 810 17 550 179 697 「：領…634 . • '―“

1

. • .r * ^ • •‘：

3 1〇〇. 6 150

9 950

11 ООО

L-56 Sstj. uates

Contins, ing p

ro '(

ects I' ü d u a l Fellowships constituting Projects

in the selves

EUROPE

Mjistrw

Sera and Vaccine Production ？aol:\c Health Administration îij.rsing Re!), áb il rotation cf Handicapped

Children Hate m a l and Child Health “ Mental Health Other ^Projects

Eelgium .

Other Projects

Denmark

Mental H e ^ t h Other Projects

Finland

Other Projects

France

Endemo-Epideoiic Diseases Other Projects

0

5

5

1

1 550

3 loo

3 750

7 100

EB17/AF/3 Rev.l Appendix 8, page 29

Annex II

Projects Continuing Proi e cts

1957 Estimates


in tiiemselves

New Projects Projects Continuing Proi e cts

Wibhout Supplement

Supplement Without


$ -1 i

2 850

,

2 500 1 550

1 200 1 550

5 550

7 100

7 100

9 950

1 600

11 000

EB17/AF73 Rev.l Appendix 8 —』—.-:.:: Page 30 :

Annex II

1956 Estimates 1957 Estimates i

Continuing Projects

Individual Fellowships . constituting Projects

in themselves



in themselves

Hew Projects

Yiithout Supplement

Supplement "ïithout

Supplément Supplement

！5 - • • í

Germany

Public Health Administration î.Tursing Other Projects 11 000 11 000

2 600 1 550

Greece-

Malaria and Insect Control Endemo -Epidemic Diseases Maternal and Child Health Premature Infants , Handicapped Children Mental Health Other Projects

1 300

Д 000 A 650

1 600

H ON

VjJ

:污

8g

〇о

о

Iceland

Other Projects 3 100 3 850

Ireland

Public Health Administration Other Projects 7 500 7 500

Л ООО

Italy

i Public Health Administration Health Education of the Public

.Maternal and Child Health: Rehabilitation of Handicapped Children

Maternal and Child Health Other Projects

2 850

1 550

6 000 8 500

1 550

1 550 j j

Morocco (French Zone)

Other Projects

Netherlands

Other Projects ；

Norway

Other Projects .

Portilgal

Sera and Vaccine Production îîursing Envirопшеntal Sanitation Other Projects •

Spain丨 1

Public Health Administration Baáic Nursing Education Maternal алс1 Child Health I.iaternal and Child Health:

Handicapped Children Environmental Sanitation Other Projects

Other Projects

oTfitzerland

Other Projects

1:)

56 Estimates

Continuing Projects

Individual •fellowships constituting Projects

in themselves

k 500

2 500

8 Д50

8 000

¿V 600

6 200

8 100

k 350

New Projects

i 300

Continuing Projects

4

2, 300

1957 Estimates

•individual Fellowships constituting Projects

in themselves

： W i t h o u t

'Supple lent

$

4 500

S 450

8 ООО

Д 800

6 200

8 100

5 100

Supplement

$

3 100

А ООО

и ooo

New Projects

Without. Supplement

$

Supplement

2 350,

7 200

A 4-00

EB17/AF/3 Rev.l ... Appendix 8

* ' 1

““ . ''г：：

Annex II

Tunisia

Public Health Administration Other Projects

Turkey

Public Health Administration: School of Public ;Health

Health Statistics Social and Occupational Health Other Projects

United Kingdom of Great Britain

Other Projects

Yugoslavia

Rehabilitation of Handicapped Children

Mental Health Other Projects Public Health Administration

(institute of Hygiene)

Countries Undesignated

Follow-up of Inter-Countiy activities on national basis

1956 Estimates

Continuing Individual FellcnTships Project® constituting Projects

л in themselves

s $

4 500

6 200

8 100

1 300

！‘

5 000

2 200

1957 Estimates

Нетг Projects

1 300

Continuing Projects

2 200

Individual FelloiTsliips constituting ？roiects

in tnemselves

ViTithout Supplement

I

4 500

6 200

8 100

3 100

Supplement

2 500

4 800

Keir Projects

Without Supplement

U 150

Supplement

S

9 123 1 "300

Inter Country Programmes

Advisory Group on . control of Insect Vectors of Disease

Seminar on Viras and Rickettsial Diseases

Advisory Group on Public Health Laboratory Services

Seminar on Veterinary Public Health Rural Public Health Training Courses Scandinavian Public Health Training

Gourses

Public Health Administration Travelling Seminar

European Schools and Training Centres of Public Health

Seminar on Dental Health Training Course for Hospital

Laboratory Chemists (Biologist) Conference on Organization and Administration of Nursing Services

Conference on Nursing Education Seminar on Warsing' in Industry Nursing Study on Public Health Aspects

of Chronic Diseases Advisory Group on Conference on

Training and Utilization of Family Health an¿ Yfelfare Workers

Training Course on Rehabilitation of Physically Нал dicapped Adult

Participation in Conferences of the United Nations and other Agencies

Symposium on the Role of the Hospital in Public Health

1956 Estimates

Continuing Projects

13 975

8 100


in t-hemselves

8 AOO

7 500


Annex II

New Projects

и ООО

9 500

6 ООО

3 600

Continuing Projects'

8 100

U ООО

3： 600

1957 Estimates

Individual Fellowships constitxrfcing Projects

in t-nemselves

Without Supplement

f>

7 100

7 500

Supplement

f

îîew Projects

Without Supplement

S

7 300

1Л 400

16 400

14 ООО

11 ООО

9 500

Supplement

6 Д50

IS 100

10 ООО

13 350

15 ООО

15 150

АрреШ:;.、： 8 «. -••Üt -mi-Ur XT". _ гкга».-

•р黾 g。.34 .

Annex

biter • Country Program es (continued)

Study of Occupational Health in Europe Training Course3 in Occupational Health Conierence on Health Education Iiterntionál 'Child_ren

T

s Centi1

©， Trair••丄ng Cour'-jor；

Acivi ory Group on F'jrl:iatal period Sonmuar on School Health Services Advisory Group on ；prevention of

accidsnij in í^úlrlhnod S nu су on г; e par ation of nother and child C

]t;acly or. Chili. 1 Zevol'jpnent en ChjJ.d C^í lcnco

З^тхпл：: or. fnib-гюггл上 child ; Human relations in Industrial Units Geminar on the пи.эте in the psychiatric

"team Survey оГ iQcohr；.i,ic problems in Europe ；fentál Health xi3gionrû. j： civicory Group on "ïater

Standards 、'Co!I

r

erenco OÏI Public; Health Aspects of Ai¿ ？olluuion

Training Inctit-ai/icn for Sanitary ïïnguneers ' •

fi'aining Course Ccr "imicipil Engineers EuroperMi Seminar for Sanitary Engineers Апл.еstheзioiog; Training Centre •

Copenhagen -Jonfcreivy) on teachi 丄ig cn hygiene.,

preventive алс social medicine Literature

Reproduct?lon of reports Training Course "".n .Radiât^ on Protection

Ooni-.lngency '

TOTAL 一 EURCrE

Continuing Projects

S

1 500

13 700

1 300

3 500

16 600

2 600

1 ООО 5 ooo

30 525

1956 Estimates


in themselves

$

14 000

1-75 200

New Projects

..11 900

8 500

7 800

1 300

8 000

9 500

82 700

Continuing Projects •‘

8 ООО

1 ООО 2 500

44 550

1957 Estimates


in themselves

Ifithout Supplement

5 800

14 000

Supplement

о

179 200

7 500

45 600

New Projects

Without Supplement

$

1Л Д00

13 975

10 700

13 975

L6 000

6 500

152 800

Supplement

5 750

ЗД 500

15 ООО

250 ООО

418 873

ЕБ17/АР/3 .Rev.l • -Appendix. '8

11 • _ “ •

page .35 -T . . .... . ... • •>"• • •-

Annex II

195¿ Estimates 1957 Estimates 195¿ Estimates . . . • - •

. . . . . t . - • . - • - • • • •

V . - —. • • • " ' •

Continuing ...Projects .

Individual Fellowships • • constituting -Pro jects ..

in themselves ‘•



m themselves .

j New Projects

. . . ‘ • •

.. "T - ‘

Without Supplement

Supplement Without


‘‘ ‘• • • ' f ‘ • ‘ ‘ . !


$ $ . . . .

$. ...... • Ф ^ “ ”“： . $ $ $ $

i Aden i

Tuberculosis 2 166 •

Cyprus

Mental Health 4

3 оол

Egypt r r ！

Public Health Administration: / Training of X-ray technician Cancer Control

Public Health Administration . Industrial Health and Occupational

Diseases Maternal and Child Health Sanitary Engineering Course,

Alexandria University Fellowships (various)

11 883； 5

3 900

29 827 826

8 287 ；

1:, COG

l i

10 ООО

• 19 595 f r •.

9 750

t *

Ethiopia ' %

Tuberculosis Control Trachoma Control Public Health Administration Public Health'Administration：

Medical Education Training of Auxiliary Personnel Fellowships (Undergraduate Medical

Studies)

59 318 ；

Л

2 ООО

64 333 ‘

2 Г0С

10 x c

斗 9 813 24 .244

i

3 ООО 1 1

. • ！

i I

EB17/AF/3 Rev. 1 Appendix 8 page 3b

Annex II

‘ - •• ... • -.’• • ,.• • • : . . .

i』」丨•• 丨丨丨 • * • * . • » - ‘ ». . ^p'"-.“

1956 Estimates . .一 ~ 一 … • 一 • . •• . . . • . • . - < •• • * ： • . . • - . • • • “ * '1

‘ 1 9 5 7 Estimates

* . .. ...— — • “” ’ • ： -Continuing

,Projects ‘““‘

. • •‘..‘ ‘；

Individual Fellowships constituting Projects v

in themselves

New Projects Continuing . Projects


in themselves

New Projects

. . . . • . • .. •.

-••_.- … • • : . v • . -Г. 4 • —'« . ' . • . . . . , • f .

- • - ; .

妒

.. . . . ' ; * ."+..•• ^ , . — • • • • "'Without


Without Supplement

1

Supplement

. $ $ $ $ $ $ $ .$ . .

.V .' ；‘

Iran

Cancer Control \ Endemo-Epidemic Diseases ' • Public Health Laboratory Public Health Administration:

Hospital Administration Midwifery School, Teheran Mental Health Services Visiting Team of Medical Scientists Fellowships (various) i.

t 435

26 028'

7 500

25 ЗбО

14 4o6*

i 8oo

7 500

io 805 9 7®e

::• • ‘ ‘ '

. ••‘ . • • .

14 8e>3

f

Iraq

Malaria Demonstration and Training Centre

Bilharziasis Maternal and Child Health Centre School for Backward Children Environmental Sanitation Blood Bank Fellowships (various) -：•.

• _ 22 312*

红7 878*

2 ООО

23 882

25 466 1 600

6 ООО

8 558

3 900

• . i

4 M O

Israel

Malar丄a:

Fly Control 1

Public Health Laboratory Dental Health Public Health Administration:

Fellowships Assistance to Medical Schools

• 6 37^

2 500

“

7 500

5 200

9 800

10 323

* Continued from UNICEF


Annex П

\ - ’

19$^ Estimates \

I957 Estimates

� • Continuing Projects


in themselves



in themselves

New Projects Individual Fellowships constituting Projects

in themselves • • •• • • . . .


in themselves

Without Supplement


1 Supplement

$ $ $ $ $ . $ $ 、 . $ •

Hashemite Kingdom of Jordan ….. ； .•‘••,.'.；

Public Health Administration Mental Hospital Superintendent Anaesthesiology Adviser

9 958

:5 5)00 3 500

3 900 7 . ；

Lebanon ； . ‘

Virology \ Pathology \ ‘: Public Health Labcratorv Cancer Survey Public Health Administration Maternal and Child Health 15 9^2

4 000

;

2 800

7 723 7 425

9 1 2 3

6 000

5 COO 5 900

• • . . ‘ * . ‘

Libya 、. • ‘ •

Г

Tuberculosis control Bilharziasis Health Education Programme Maternal and Child Health Centre———‘:•一 Environmental Sanitatioh Long-term Fellowships Programme Fellowships (Undergraduate

Medical Studies)

3 9 8 6 — — 28 798

......

22 856

с

90c

4 8C0 10 ПО0

10 000

47 16? ：

i

Pakistan

Malaria Research BCG Programme Public Health Administration Maternal and Child Health, Karachi Children、Hospital, Karachi Assistance to Medical Schools School of Physiotherapy

4=-

M ЧО

СГ\

VO V

D С\

G\

О о

M

Ю V

>J VoJ

*

b 000

49 745

17 129

10 584 61 226

9 292

k 000

‘12 764

* _ P w M … d -p rry тттгтп?

Saudi Arabia

BCG Programme Bilharziasis Public Health Laboratory-Public Health Administration Environmental Sanitation Anaesthesiology Blood Bank

School of Medical Assistants

Somalia

Long-term Fellowships Programme Training of Auxiliary Personnel

Sudan

BCG Programme Sleeping Sickness Bilharziasis Rural Health Services Dental Health Survey Public Health Administration Nursing School, Khartoum

Syria

Bejel and Syphilis Control Bilharziasis and Malaria School Health Seminar Endemo-Epidemiс Diseases Control Trachoma Survey

Continuing Projeóts"

1956 Estimates

Individual Fellowships constituting" Projects

in 'themselves

2 000

3 000

E B 1 7 / A F / 3 � v . 1 Appendix 8 page 38

Annex ÏI

$

12 225 1 661

664, 000

13 4

14 178

29 850 35 620 12 5 杯3

л

• 1 Continued from ItolCEF

1957 Estimates

New Projects

Without 0 n

, ^

n 丄 Supplement

Supplement

$ $

.29 3S5„ 、 . . .

137

38 391

51 819

New Projects Continuing Projects ‘

Individual Fellowships -constituting Projects

、in themselves

Without Supplement

Supplement

$ $

19 6^2

7

22 764

2h 571

$

80c

2 COO

10 000

1 600

4 500

$

7 000

18 995 3 900

22 85З 4 000

EB17/AT/1' Rev.! Apcendl-í 8

Annex II

»

i Syria (continued)

Bilharziasis Public Health Laboratory Vital and Health Statistics Health Education Project Environmental Sanitation Fellowships (various)

•、nen

Eruiemic Syphilis Control Public Health Adviser

Int er-Country Programmes

Malaria: Technical Meetings Training Course

Malaria Co-ordination Regional BCG Assessment Team Training Course on Bilharziasis Control Public Health Advispry Services Dental Health Survey Nursing Seminar Nursing Adviser

Maternal and Child Health Seminar Mental Health Environmental Sanitation Conference Regional Environmental Sanitation

Survey Mission Regional Course for Waterworks Operators Medical Literature and Equipment Medical Use of Radio-isotopes

TOTAL - EASTERN MEDITERRANEAN

1956 Estimates

Continuing Projects


in themselves

7 000

10 466

18

7 500 1 600

10 000

1 000

490 652 45 300

New Projects

11 70p

2 COO

I957 Estimates

Continuing Projects

$

14 917

11 700

10 000

107 061

1 000

445 449


in themselves

Without Supplement

$

1 400

7 000

Supplement

110 900

New Projects

Without Supplement

$

27 000

11 114 17 100

1 500 38 70c 18 165

9 000

15 973

7 100

352 932

Supplement

$

30 071

4 000

kO 043

21 355 1 � 5 0 0

II 00v

)18 >27

Continued from UNICEF

LB17/AP/3 Rev.l /卫pendil 8

page ¿^

Annex П

WESTERN PACIFIC

Australia

Strengthening of Health Services

Cambodia \ I j Venereal Diseases Control i Public Health Advisory Services ! Training of Nurses i •

I China

Tuberculosis Control Venereal Diseases Control Public Health Administration Vital and Health Statistics

Cook Islands

Public Health Administration

Fiji

Central Medical School Thoracic Surgery

！ Physiology

I ； H o n g Kong

Tuberculosis ！ Dental Health ', Nursing •“

Mental Hospital

Continuing Projects

$

17 7^9 39 099

29 274 10 253

8 900

16 532

I956 Estimates


in themselves

New Projects：

$

10 000

3 200

$

1957 Estimates

Continuing Projects

18 126

35 377

26 591 4 150

16 211


in themselves

Without Supplement

$

10 000

4 500

3 500

8 620

Supplement

$

16 500

2 8OO

5 6OO

4 500

New Projects

Without Supplement

$

15 955

Supplement

15 300

EHL7/AF/3 R e v a Appendix 8、彳 page Д!"

Annex II 滅:

• 1956 Estimates

^ _ 邏 _ — - - • 1957 Estimates

• 沪 , — « • • “ <

.. : • • ;

Continuing Projects

Individual Fellowships consti-tutxng" Project's

in themselves

New Projects ‘ Continuing Projects


in themselves

New Projects

•- ‘ • ‘“ . .

- . . — … . :... ‘

Without Supplement


Supplement • i i ‘ .• • • - * •

.. ‘ . . . —r . ‘ ¡ .

$ $ $ $ $ $ $ i ф •- *-•, •. • , 土工 .

Inter-Country Programmes . , 卜乃：： . •/л .'.•-.•— - -» • • « . .

• . r •• • .. i" * '•‘ . i ....

Yaws Control :Leprosy-Study Group on Venereal Disease

‘Public Health Administration Conference -Study Tour

Medical Literature Development of the pre-school child

.Refresher Course for Assistant Medical Practitioners

l Refresher Course for para-Medical Personnel

39 278

1 f>00

12 800

27 7斗9

1 000 19 100

- . . • • ； i

書

« ? • щ , 2б«000.

、感 — .

7 8оо

' 7 800

Ф；.

• . 、 •；' : , 、 • . ,

22 ООО

!

TOTAL - WESTERN PACIFIC : ‘ ¡

282 087 27 500 12 800 261 101 106 470 106 850 : 7斗 102 52 669

£.3L7/AF/3...ReT;, 1

,:糊ndly P. Page 42 .

Annex II

1956 Estimates 1957 Estimates Continuing • Individual Fellowships ..New Projects Continuing Individual Fellowships New Projects Projects constituting Projects Projects constituting projects

in themselves in themselves Without Without Supplement

Supplement 0 uppj-сЩоп и

Supplement

$ $ $ $ !> % REGION UNDESIGNATED


Malaria Eradication Inter-regional c©-ordination 72 799 69 586

47 605 ‘ Advisoiy Teams I42 815 127 314 47 605 ‘ Grarits, Contractual Technical

Services and other i>nns of Research Co-f»rdination 36 000 36 000

Study Group 4 800 Assistance to Malaria Courses 15 6OO 15 600 Fellowships 13 200 13 200

Malaria Conference (Eastern Mediterranean and Eurtpe) 27 000

Malaria Conference (Third Asian) • • 34 700

UNRWAPRNE 8 725 10 083 -Bilharziasis Training Course 30 700

Training Ceñirse on Public Health Laboratory Techniques i>r Virus

19 600 and— Rickettsial Diseases 19 600 Administration Offices 8 747 10 105 Liaison with UNICEF:

Bangkok 14 550 20 440 New Y#rk 27 558 35 585 Paris 16 272 13 640 -

Public Health Administration: UNRWAPRNE 18 456 21 231

Envii^nmental Sanitation: Lecturer-Consultant 3 900 9 100

TOTAL - REGION UNDESIGNATED 203 107 13 200 115 368 684 13 200 132 605

TOTAL - FIELD PROJECTS 2 346 529 353 250 "i

1

» ' — • -•••~11111

•—“~~^

¿

489 697 2 440 283 562 830 302 000 1 050 305 1 270 537


NET TOTAL

Ш

3 189 476

41 972

3 147 504

1957

Without Supplement

U 053 418

84 785

3 968 633

Supplement

1 572 537

104 757

1 467 780


Annex II .

...1956 Estimates г ‘' ••• - « . 1957 Estimates

. . . ‘ • '• “ - • .. •f , . • • • •

iojitinuing 'i Projects


in themselves

New Projec.ts Continuing Projects

Individual Fellowships, constituting Projects

in themselves

New Projects • •.

' -

Without

Supplement Supplement Without


$

、 $ • . . $ . . . . $ $ $ $

Japan

Training of Nurses Poliomyelitis and；Rehabilitation of

Crippled Children Endemo-Epidemiс Diseases National Institute of Mental Health Mental Health

21 510 19 5^6

4 500 3 5 0 0

4 000

4 800

Korea - •

Endemo-Epi demi с Diseases Maternal and Child Health Mental Health

5 000 8 500

5 500

Laos

Malaria Control . 9 569

Malaya

Rural Health Training Centre Mental Health:

Training of Personnel Environmental Sanitation

21 5 斗 6 14 823

9 117 1 0 4350

Netherlands New Guinea

Public Health Administration 、Maternal and Child Health ,:Environmental Sanitation

2 1 0 0 4 5 0 0 5 000

,};;Н1 /AF/3 "Rev.l

•' ppendlx 8. page “

Annex И

• 1956 Estimates

. . . . . . . . . . . •• , • • . • 1957 Estimates

_ . . . • • • -

\ Continuing Projects


in themselves


V p Individual Fellowships constituting Projects

in themselves

New Projects

, . • ' . Without j Supplement ；


Supplement 1 j

. ‘ - > • . $ $ $ $ $ $ $ $

New Zealand . ¡

‘-'•；； i

Public Health Administration Maternal and Child Health

5 000 )500

. • j i 1

•‘ »

Papua and New Guinea ‘ • . . . • •.. '. • : 1

Tuberculosis Public Heaith Administration

3 800

88 OS

LO

I

.... j

Philippines • 1 :

•• •

Public Health Advisory Services Nursing Maternal and Child Health Mental Health Environmental Sanitation:

Advisory 'and Training Programme University Health Services

11 200

13 265

5 500

11 070

12 202

5 500 10 750 13 000

5 500

7 200

！； • . . ， . . . . ，

•• .:.•、f：

Singapore 1 ； . . . .i"

TTrban Health Centre Mental Health

26 717 26 143 io 8oo

» ‘ 丄 . • ， V ： ‘ Л

" . . . >

！Viet-Nam ‘ .•

Public Health Advisory Services Nursing Nutrition Medical Assistance Fellowships (various)

i ‘

1 i

25 76斗 48 11) 5 000 5 000

1 850 18 500

i

. . . . . . . . . . . ‘ . . • - • .

EB1V/AF/3 Rev.l APPENDIX 9 page 1

1 5 Ц 5 2 8 8 0 丨 ¿ 5 … 5 0 0 • * . • _ 办一 — L 309 Й5В 270 741 i

late ^country programmes

Malaria control (East Africa' Tuberculosis survey (East Afi Tuberculosis survey (West АГл

一 • Ü . á l - AFRICA : . •. ••:…

£î^Including projects for which UNICEF may later be reçuested to provide supplies and equipment (such projects are ' ^ m m i U e d by (a)>

^ territory ùrder French Âdmixû^tration

L:ibe--Ia • ..,’

Mala vl а ,сЪпt rol'' YD - Yaws control

Nigeria . " /

Malaria control Tuberculosis control

;

VD' - Yaws control Leprosy control

•Maternal and child health

10 350 9 11 135

2 700 19 227 18 506

Gold Coast ：：".丨.;•： . ； ;'.•• : (а)

Malaria controL VD - Yaws control

(a)

Réunion

•/Health survey and pilot project

Sierra Leone

VD - Yaws control ,、..：

；Tanganyika

Maternal and child health services

Uganda

Venereal diseases survey

Zanzibar-

(a)

Malaria survey and control

500

2? 195 27 553

.16 722 21 554

8 634 23 058

8' 000

Kenya

.Mal a ri a с ont го i. Maternal and nbiïd health

- • “ • — • 『

:.Nútrition survey 2 700

2 500' 2 700

9 135

JOINTLY ASSISTED UNICEP/WHO PROJECTS1

FOR WHICH PROVISION HAS BEEN INCLUDED IN THE PROPOSED PROGRAMME AND BUDGET ESTIMATES FOR 1957

AFRICA

；Bechuanaland

Regular Funds

955 1956

； N;Q,n_veperèal trepo, iematos'ës' , 丫 i Health"

!

education of the pubUô^' 2 700

Г ~ "al^-ia pilot pro 1 act ；Fedéfárblon -of Bliodesia Jk .... •Fvasala^F^^ Г ： ,.

^tritipnal survey .. '4

Frénch Equatorial Africa

Leprosy control

Gambia ‘ ‘‘ ‘ ‘ ^―*- . -i'l

；"• Lep.rosy control Nursing

18 920

1 300

1 500

1957

21 624

1 300

1 300

Technical Assistance

1955

8 015

32 562

1956 1957

Reimbursed by UNICEF

1955

1 020

12

15 645

4 712

5 632

8 622

16 999

8 487

7 211

1956

22 129 31 099 38 652 42 587

О.Ф 3

41-Í6

3-7-6

68-6

3 11

rica)

25 202 46 172

20 lb2 16 131

25 750 28 116

•32 о

6 о о

5 7 5

5 kl •

1

1..L1

959 722

12 16

0 000

E B 1 7 / A F / 3 � v . 1 Appendix 8 page 2

…Regular Funds. • Technical Assistance Re iraburs ed_.by

UNICEF .

1955 1956 1957 1955 1956 - • ••

1957 1955 1956

THE: AMERICAS ¡

Bolivia (a )

Malaria eradication、 8 800 9 012 9 089

Brazil ( a)

VD - Yaws eradication4

Maternal and child health

Brazil ( a )

VD - Yaws eradication4

Maternal and child health 2 ООО 8 000 8 ООО

9 424 18 974

British West Indies

ТВ - BCG PHA. - Local health services 1б бОО 40 _ 36 627

b ООО f

Chile

MCH - Dem. centre for care of premature infants 4 920 12 440 13 142

Colombia

Malaria eradication ТВ - BCG PHA - Rural health services

21 580

15 900

35 5б0 6 084

У\ 624

36 175

861 8 700

Cuba (a)

•Public health services

Cuba (a)

•Public health services 13 ^79

Dominican Republic

tdalaria eradication 14 170 1б 904 17 280

Ecuador

PHA Rural health services 19 150 30 659 29 828

El Salvador 1 .

PHA - Rural health services jh 210 51 764 48 764

Prenûh Guiana / мсн(

а

》 / ) 3 1 6

Guatemala / ТВ - BCG PHA - R u m l health services 7б0 5б 9 斗 5 50 9б9 <

3 900

Haiti

Malaria eradication /VD - -Yaws

r ,

PHA - Local health services8 .

Nursing - Training' of mldwives

15 6)0

8 620

22 121

3 290

11 825 18 210

14 400

24 2k 9^8

3 1沖 1

Honduras

ТВ - BCG (

. "PHA - Rural health services⑷ 19 300

3 900 ^ 453 45 084

Mexico

Malaria eradication PHA б 260 34 858 Ь2 719

51 ббО 51 ^79 53 670

Nicaragua ‘ “ . . . . . . -

PHA - Rural health services 50 170 45 738 47 3^5

Panama V •

• . • - ‘

PHA - Rural health services 77 750 57 56

Paraguay

ТВ - BCG Leprosy control Public health services

1 050 3 800 5 800

1 厂 ООО 108 635 98 585

18 5^0 2 475

Appendix: 9 page 3

11 200

21 358

20 573

13 930 15 66k

24 412 20 422 18 676 14 470

18 715

7 790

24 358

11 420

9 850

28 120

16 409 , 18 0 2 ^ ;


1955 1956 1957

18 460 32 498

17 980

39 512

28 968 36 757

Reimbursed by UNICEF

1955 1956

5 900

627 590 785 ИЗ 872 654 35 140 2 475

Peru

Regular Funds

1955

PHA - Demonstration & Training ； c e n t r e Callao Public health services

Surinam

(a)

.ТВ - BCG

Uruguay

PHA - Rural health services

Inter-country programmes

(a)

Malaria and Aëdes aegypti eradiсati on (Central Ameriсg and Panama)

Malaria and Aëdes aegyptî eradiс at i on (Caribbean area]

"TO - Yaws (Caribbean area) Envsanitation (Caribbean area)(

a

)

Total - THE AMERICAS 92 590

SOUTH-EAST ASIA

Afghanistan

№laria and insect control •Laboratory services and manufacture of vaccine

PHA - Expansion and nursing education programme (fiist.team)

PHA - Expansion and nursing 1

education programme (second team) “）

PHA - Rural health unit MCH - Dem. & training project Environmental sanitation 18 200

Burma

(a)

Malaria and insect control Malaria adviser Tuberculosis adviser EED - strengthening of laboratory services

PHA - Rural health unit Mandaiay

PHA - District health serviœs Nursing school； Rangoon

—•"Nursing school, Mandai ay Nursing school, Dufferin Health educatiorv. of the public(

a

) Environmental sanitation

Ceylon

ТВ - BCG Health education of the public MCH, Kalutara Env. sanitation, Kurunegala

13 900

4 950

(a)

India

ТВ - ¿CG Leprosy control Trachoma project, Uttar Pradesh(

a

). PHA - Rural health, Assam PHA - Rural health, Andhra' a.

2 600

1956

152 113

12 526

9 660

8 916

14 386

1957

160 285

14 853

9 618

12 965 32 487 58 756

)Costs of international health personnel in new project for have been made by UNICEF to date.

6 3 5

б юга

7

5 3S

4

7 5 8

1

600

H o

22 1

7

21斗

20

681 719

11

15

755

181 843 642 115

14 474 13 255 13 637

9

26 25 21 15

17 886

270

53斗

12

22

itments which no

6 500

13 500

250 21

22 000

500 100 000

28 12

9

'0 650 2

12 400 10 800 24 300

2 700

10 500 16 700 18 200

91 905

74 821

28 705 18 000

76 027

66 689 26 323 17 000

40 490

52 560 18 75C

ijpper.dlx 9 pSge Л

5 500 A 000 -

8 500 ..23 .{22. 5 000

4 500 1 700

6 210 1 700

7 100

36 600

7 031 17 339

30 248

3 000

21 760

22 000

308 800 537 997 IÓ9 229 179 975 T) 340

13 749

5 000

1 000

9 500

20 255

11 200

16 A00

11 192

71 ООО

15 4-57

14 343 8 ООО

10 530

19 Л54

21 ?Ч0


1955 1956 1957

Reimbiirsed by

UNICEF

1955

11 700 18 85Д

45 580

28 995

49 545 2C 750

India

fiCH г

Nursing - Pest graduate (a)

.—course fcr midwife tutors MCH — A H India Institute

cf Hygiene and Public Health, Calcutta

Bihar Bombay Hyderabad Madh/a Pradesh Onvosore Saurashtra Travail core Cochin Uttar Pradesh

ч West Bengal MCH Programme Review-National MCH Programmes Fellowships

Indonesia

ТВ - BCG

VD - Yaws control Ьергсэу⑷ • Trachoma contrcl M Œ ⑷ Environmental sanitation

Thailand

.ТВ— BCG

VD — Yaws control Leprosy ccntï\l Rural heal'feJi unit；'.

Chiengmal Nursing - Rural health Fello-.Tships

Inter-c'untry Pro grammes

‘ ТВ. - BCG ‘

Total -；SOUTH-EAST ASIA

EUROPE

Austria

137,000

Sera and vaccine production MCH - Rehabilitation of

handicapped children

France

Commtmicable eye diseases • Algeria⑷

Greece

Rehabilitation cf . handicapped children

MCH — Thessaly . Rural sanitation in MCH

projects

Italy

MCH - Rehabilitation cf handicapped children

-Care of premature infants

Morocco (French Zcne)

VD - Syphilis control r

. Communicable eye diseases MCH - child ntrfcrition(

a

)

1 349

2 670

271 047 281 219

1 550 2 850

1 550

ад i 3oq

i 964 1 408

w

8

2

RegcQar Funds

1955 1956 1957

5 100

5 5

8 3

6 4

5 5 6

.1

обо

17 2

9 7 9

6 510 22 889 4-5 666

20 073 1Д 658

>'048 13 229

15 424

18 341

17 233 36 014

26 989 25 885

611 8

034

779 881

1-j7 817

Л6

30 32

23 30

'.О 217

13 010

Р 4Л9

887

739

22

10

9 803

9 851


粞：... W - • Regular Funds Technical Assistance Reimbursed by

UNICEF

1955 1956 二 1957 1955 1956 1957 1955 1956

Spain i

VD control Commiiriiaable.. eye diseases MCH 、. —傳.

Rehabilitation of handicapped children

• > . г.. 1 зоо

U 750 11 772 5 400

3 450 12 700 3 100

3 Л50 5 850 •

Tunisia f

Communicable .eve diseases MCH services⑷

21 722 1 550

25 722 k 100

4 900 14 190

Turkey ‘‘ ’—— f

a)

Ccraiflunioàbïfe eye diseases MCH training centre

Turkey ‘‘ ’—— f

a)

Ccraiflunioàbïfe eye diseases MCH training centre

21 050 6 ООО

18 355 з юо 6 200

Yugoslavia 一内... ...

Sera and vaccine produotion Trachoma control Réhabilitât i on cf handicapped

children(a

) MCH services •

. . . • • . . - - •• .• • - ‘ • •

1 200 1 зоо

23 Л50 3 . 222, _

8 150

11 250

Л. 550

6 100

7 950 3 55Q-.

7 650

-•.‘广 - - • • -

• ； - • * • Inter-ccuntry Programmes

MCH - International children1

s centre, training courses 13 650 1Л ooo 14- ООО

Total 一 EUROPE 22 655 23 850 16 850 143 188 U 9 796 97 795

EASTERN LffiDTTERRANEAN

:• t....

•

• -, \ -

Aden !

MCH services(a

) ： •• 6 гзз

Egypt ；

Trachoma ccntrpl U 500 •12 178 6 317

Ethicpia 、:r

Malaria control(a

) ТВ- BCG _ (

a)

VD and trepcnemateses Training of-auxiliary-

personnel

Ethicpia 、:r

Malaria control(a

) ТВ- BCG _ (

a)

VD and trepcnemateses Training of-auxiliary-

personnel 厶8 600 59 318 64 333

6 600

23 ООО

11 592

20 747

14 8仏

18 317 3 1 彻

Iran

ТВ - BCG V

. ⑴ ‘：

VD and treponemàtosésк

.. Nursing - Mldvdfèrj'- school,

Teheran

MCH - Denu & training centre

1Л лоб

39 300

30 540

16^828

10 332 23 2Л0

15 623

19 193

20 ООО ： Л

9 500

Iraq • . . . .

Malaria contrcl ТВ - BCG • / n

；<

Trachoma control (

РНЛ - Rixràl ;hëalth unit ⑷ MCH Schcol health, services

22 312

47 878

.：23 882

25 466 .• > г. ••.'

1 зоо

..з ООО

Л5 359 11 091 ЛО 138

20 600 5 800

Д8 200

Israel 、… 4' r

РНЛ Réhabilitât ion of the physically handicapped 6 600

Т . .-•

Jordan ^ ：： ‘ . * “ ;

-. - • •‘‘“

ТВ - BCG -MCH - Dem. к training centre

•、. •.

•• -i . J

-••-

28 200v

28 915 26 657 22 215

7Ш/КР/3 Rev.l Appendix 9 page 6

14 86? 21 814

1 500

ЬеЬ:алоп

MCH - Handicapped children centre

. - • •

Libya

‘ТВ - BCG ИСН 一、 T r i p c l i

MCH - Benghazi

Pakistan

.ТВ., centre，Dacca ТВ - B C G

Nursing School, Dacca MCH centre， Dacca MCH centre, Karachi MCH Children、Hospital, Karachi

Saudi Arabia — .‘(a)

ТВ - BCG г/ \ r MCH centre

v ;

'广.

Soma.l i a

Malaria ‘f у •

Sudan

Malaria ТВ - BCG

Syria

Malaria

VD Bejel and syphilis control

School health services

MCH

Yemen

Malaria('a

)

.• . •..... ‘

..Inter-country .Programmes

ТВ - BCG Assessment Team

MCH Seminar

Total' - EASTERN MEDITERRANEAN •• ；: .

WESTERN PACIFIC

Camb»dia r

• (a)

VD* and Trepcnematoses

MCH

China (

VD- control

Trachoma

MCH

Hong Kfig

MCH с

Malaya

Rural health centre

North Borneo

Malaria and insect control EnvirMmental sanitation

40 kb-1

23 901

9 000

17 355

12 900

26 200

36 100

TechnicaJj. Assistance Reimbursed by UNICEF

1955 1956 1957 1955 丨 1956

丨.

15 800

18 709 30 540

19 400 18 345 ‘ 1 4 499 .. - 28 200

22 900 21 197 12 764 AO,ООО 11 212

20 065

6 800 3 ООО

5 400 14 469 18 898

1 4 1 0 0

21 200 25 858 22 565

5 700

3 ООО 22 814

2 9 ООО j i

262 140 j 284 981 ¡ 300 458 250 515

9 123

22 856

17 129

lo 384

61 226

29 325

19 602

177 450 367 178 297 732

15 955

25 770 10 253 4 150

14 470 21 546 14 823

Regular Funds

1955 1956 1957

恥

9 5

2

2

躲

3

2

3

1

3

50о

3 2

32 420

\ •

16 510

24 810

9 950 14 340

15 942

28 798

17 673

U3 613

49 745

13 664

29 850 12 543

18 342

7 500


Regular Funds Technical Assistance Reimbursed by UNICEF

1955 1956 1957 1955 1956 1957 I 1955 1956

'hilippines

ТВ - BCG Nursing - Midvdfery training 17 200 7 211 18 371

18 2 0 0

Singapore

Urban health centre 1 5 000 26 717 2 6 1ЛЗ

i/let Nam

MCH 32 420 28 439 42 Об8

Enter-country PIT grammes

ТВ — BCG (Camt-odia，Viet Nam) BCG Assessment Team VD - Yaws Centre1 23 670 39 278 27 749

2 3 4 0 0

1 3 6 0 0

12 317

Tctal 一 WESTEHN PACIFIC 78 910 97 794 8 8 8 2 0 1 4 7 65O 155 237 151 162 5 5 2 0 0 12 317

GRAND TOTAL 524 155 964 8 6 2 9IC 404 1 без 631 2 222 976 2 . 1 5 2 039 520 830 94 1321

IJte capitulation

Projects for vjhich UNICEF may Ъе requested to provide supplies and equipment and identified by (a). 1 5 8 0 0 6 2 8 7 2 1 5 3 8 6 2 146 230 378 959 528 729

r 1 8 0 2 2 '

(jointly assisted UNICEF/WHO pre je et s for which the

j UNICEF Executive Board has j previously allocated funds j for supplies and equipment 508 355 901 990 756 5h2 1 537 Ш

<

1 Ш 017 1 62$ 3UD 52G 83C 76 11D

J 52Л 155 9 6 4 8 6 2 910 404 1 633 6 3 1 S 232 97íi 2 152 C39

, * 丨¡

52O 83C 94 132'

1 in —off* Щй Hlth Org. 66 under "Other 3xtra Budgetaiy Funds" the total included for 1956 for costs of internationi

health personnel in projects, which are identified by (a), as funds have been allocated by the UNICEF Executive Board (with one exception as explained in footnote 2 below), amounts to |ill8,348. The difference of $2k

t21¿

relates to four projects,他ich subsequent to the preparation of Off. Rec. Wld Hlth Org. 66 have at the request cf the govern-ments concerned been approved for financing in 1956 under the Technical Assistance programme frcm the Contingency Fund at the disposal of the Executive Chaiman of TAB. As a result the allocations approved by UNICEF fer these four projects, amounting tc $24,733 could be returned to that Organization.

2

C»sts of international personnel in new project, for vihich no commitments have been made by UNICEF to

date.

APPENDIX 10

REFERENCE MANUAL CIRCULAR

No. 37 Rev. 3 PART III BUDGET

25 April 1955

COMPILATION OF BUDGET ESTIMATES

10 No special forms are provided for the budget estimates for

organizational meetings, common services, public information

contractual services and supplies, and epidemiological telegraphic

expenses. The estimates for these activities and services at

Headquarters are worked out by the departments concerned in

consultation with the Budget Section. Regional directors should make

ad equate budgetary provision for these activities and services in their

regions and include a detailed breakdown of common services and

public information contractual services and supplies in their estimates.

20 For budget estimates other than those mentioned in paragraph 10,

the following forms are used s

WHO 28 - Programme and Budget Estimates for 1957

WHO 28a - Details of and Justification for Duty Travel

Special points to be borne in mind when completing these forms are

given below in paragraphs 30 to 450 The averages to be used for

computing the estimated cost of vacant posts are set out in Annex A.

FORM WHO 28

30 A separate form should be completed for each organizational unit

and field project and for fellowships considered as "projects in themselves"

(see para. 390), In compiling the estimates, regional and other offices»

regional advisers, and WHO area representatives should be considered as

separate organizational units.

40 Additional sheets, numbered consecutively, should be used for

organizational units and projects with more than six posts. When this

is done, the information required in the lower part of the form and

under the heading "Details of Fellowships" should be given only on the

last sheet, and the amounts shown against the heading "Total -

established posts" should be the aggregate costs for the unit or project.

PART III BUDGET

MC/37 Rev. 3

page 11

50 Irrespective of the source of funds from which they are financed, posts

in regional and other offices should be inserted on the form as they are to

appear on the budget document., i。e in descending order of grade and

step within units. Posts in field projects should be lí¿Ud simply according

to grade and step.

60 Regional offices should forward one set of the completed forms to

Headquarters with copies of the draft estimates prepared for the regional

committee,

COUNTRY AND WHO PROJECT NUMBER

70 The WHO project number should always be inserted on forms prepared

for projects, including those fellowships which are considered "projects in

themselves,“

MAJOR SUBJECT HEADINGS

80 These ares

Malaria and Insect Control

Tuberculosis

Venereal Diseases and Treponematoses

Endemo-Epidemic Diseases

Public Health Administration

Nursing

Social and Occupational Health

Health Education of the Public

Maternal and Child Health

Mental Health

Nutrition

Environmental Sanitation

Other projects

Projects should appear in the above order in the estimates for each country.

Only projects such as anaesthesiology training, vital and health statistics

PART III BUDGET

MC/37 Rev. 3

page 10

cour, e.s etc. , which are not readily identifiable with one of the other

m.ijoi <ubjcct headings, should be included under "Other projects".

SimiJarlv, oaly those fellowships considered иprojects in themselves"

.which can iioi be identified with one of the other major subject headings

should be included under лOther projects".

DESCRIPTIVE TITLE OF PROJECT

•90 All projects, incJuding those fellowships considered as "projects

ill rlifms¿lvt、s", shouíd be given descriptive titles such as "Demonstration

and Training Centre Baghdad" "Bilharziasis Survey**, "Midwifery

Training"*, "Colombo School of Nursing**, etc.

CATEGORY

100 ln>en The category f Í or II) into which the project falls, if it is to be

f.nanccd from Technical Assistance funds A project, or parts of it.

should not be put into more than one category in the same financial year.

DATE COMMENCED OR EXPKCTED TO COMMENCE

1】0 Give the month and year in which an existing project commenced and

the date o‘. which a new project is expected to begin.

NUMBER OF POSTS AUTHORIZED FOR 1955

120 For Headquarters, regional offices, regional advisers, etc,，show the

number of posts authorized in position lists under regular and Technical

Assistance funds. For field projects, give the number of posts expected

to be filled during 1955 under each of the funds.

FUNCTIONAL TITLE

130 Give the functional title of the post (e。g. "sanitarian™,

bacteriologist", "midwife-tutor", etc.、. Classification titles such as

PART III BUDGET

MC/37 Rev. 3

page 4

"medical officer", "nurse", etc. should be avoided whenever possible.

HOME STATION

140 Name the established home station for each filled post.

NUMBER OF DEPENDANTS

150 For filled posts indicate the number of dependants, e .g . 1 + 2 (wife

plus two dependent children within the terms of the Staff Rules). If a

staff member has dependants other than wife and children, explain under

"Remarks"。 For the purpose of computing home leave costs for a project

staff member, an "x" should be inserted in the square if his dependants

live with h im.

NUMBER OF CHILDREN ELIGIBLE FOR EDUCATION GRANT

160 For filled posts indicate the number of children eligible within the

terms of the Staff Rules.

FUND

170 Use one of the following abbreviations; "Reg。"，"TA", "UNICEF",

"PASB".

SALARY

180 This amount should include the salary and any within-grade increment

and non-resident allowance which the staff member will receive, and

should be computed as follows;

180.1 For posts financed from regular or other extra-budgetary funds, for

the whole year except for posts which are expected to be

discontinued before 31 December. The termination date of the

latter should be given under "Remarks"。

PART III BUDGET

MC/37 Rev. 3

page 11

180.2 For posts financed from Technical Assistance funds, (i) for posts at

Headquarters and regional offices and for filled posts in existing

field projects as in 180.1； (ii) for vacant posts in existing field

projects from the date on which it is planned to fi l l them;

(ii i) for posts in new projects from the date the project is expected

to begin, which in no case should be assumed to be earlier than

1 April.

No provision should be made for accrued annual leave。

COST-OF-LIVING ADJUSTMENT

190 When there is a minus adjustment, the amount to be deducted from

the total should be shown in brackets ( ) ,

INSTALLATION ALLOWANCE

200 If a post is not filled, show the appropriate average。 If the post is

filleds but the dependants of the staff member have not yet joined h im,

insert the amount of installation allowance due to him on their account

in the column for the year in which they are expected to arrive, and

explain the entry under "Remarks"

210 Do not include an amount for installation allowance for staff assigned

to country projects financed from Technical Assistance funds or to inter-

country Technical Assistance projects for which separate agreements have

been or are expected to be concluded with the participating governments,

since this allowance should be paid from funds provided under the " local

costs plan".

PROJECT SERVICE ALLOWANCE

220 For the reason given in paragraph 210, no amount for project service

allowance should be included for staff assigned to the projects mentioned

in that paragraph. For staff assigned to all other projects, the $

equivalent of the appropriate project service allowance (see Manual,

PART III BUDGET

МС,37 Rev。3

page 6

VII。2。Annex B), computed at the prevailing rale of exchange, should be

inserted。 If the project is proposed in a country or territory for which no

project service allowance has been established, the allowance ¿hown

should be ar the rate of $150 per month。

DEPENDANTS

230 This heading includes dependants* allowance, children's allowance,

education grant and related travel： For filled post>, show the t o t 」

amount to which the staff member is entitled。 If the amount shown

includes a sum for the travel of children under the education grant, this

sum should be specified under "Remark , 0 For vacant posts use the

appropriate average for these allowances。

REPATRIATION GRANT

240 Project staff and general service staff who do not receive a non-

resident allowance are not entitled to this grant. For all other posts,

whether filled or vacant, insert an amount of $100 for each year.

PENSION FUND

250 For all posts filled (or to be filled) by persons eligible to participate in

the Pension Fund, include 14% of the amount shown under "Salary"0

STAFF INSURANCE

260 Include against each post l°¡o of the amount shown under "Salary"。

DUTY TRAVEL

270 The cost of duty travel is made up of two elements? transportation

costs and per diem。

PART III BUDGET

MC/37 Rev. 3

Page 7

Headquarters, Regional Offices, Regional Advisers, etc,

280 The amount included for duty travel should be supported by details

and justifications on form WHO 28a.

Field Projects (other than the regional projects mentioned in para。300 below)

29^ The total amount to be budgeted for the duty travel of staff assigned to

these projects depends upon whether the travel is within or outside the

country of assignment.

290.1 Travel within the country; do not include an amount (a) for

transportation of any staff, since this is to be paid by the govern-

ment, or (b) for per diem of staff assigned to projects financed

from Technical Assistance funds (see para. 210)? include an amount

for per diem for staff assigned to projects financed from regular or

UNICEF funds。

290.2 Travel outside the country: include an amount to cover

transportation costs and per diem of staff assigned to any project,

regardless of the source of funds from which it is financed. An

explanation of any travel of this nature should be given under

"Remarks" (e.g, for consultation with the regional office)-

Regional projects

300 For regional projects (as opposed to the inter-country project?

mentioned in para. 290 above), provision should be made for transpor-

tation costs and travel per diem to the extent that these are not expected

to be paid by the Host Governments This applies to aJl regional

projects, regardless of the source of funds from which they are financed.

Where provision is included, give the reason under "Remarks"

RECRUITMENT AND REPATRIATION

310 For vacant posts use the appropriate average for recruitment and

repatriation costs (see Annex A厂 For filled posts which are expected

to be discontinued show the estimated cost of repatriation.

PART III BUDGET

MC/37 Rev. 3

page 8

HOME LEAVE

320 For filled posts show the actual entitlements. For vacant posts do

the followings

Posts at Headquarters and Regional and Other Offices (Including

Regional Advisers)

320.1 For continuing posts show the full amount of the appropriate

average in 1957.

Project Posts

320.2 If the post is expected to be filled

- i n 1955, include, for 1956, one third of the appropriate

average and, for 1957, the full amount of the average;

- i n 1956, include, for 1957, the full amount of the

average;

- i n 1957, include no amount for home leave.

TRANSPORTATION OF PERSONAL EFFECTS

330 No amount should be shown against this item for project staff。

Otherwise, for filled posts insert the estimated amount required in

connexion with recruitment or repatriation, for vacant posts insert the

appropriate average,

REIMBURSEMENT OF INCOME TAX

340 Where applicable, the amounts which it is estimated will have to be

reimbursed should be shown.

PART III BUDGET

MC/37 Rev. 3

page 9

TOTALS

350 Show the estimated expenditure for all three years. When

recruitment is expected to take place in 1955, but no specific

information as to the date of recruitment or the person to be recruited is

available at the time of preparation of the estimates, this fact should be

recorded under "Remarks". Information which may later become

available about persons expected to fill these posts should be included in

the budget analyses submitted on 25 September 1955, to enable the

Budget Section to adjust the estimates if necessary.

SHORT TERM CONSULTANTS

Fees

360 Use the averages shown in Annex A for all consultants.

Travel

370 Use the averages shown in Annex A for consultants to be paid from

regular funds. Use one-half the averages shown for consultants on the

Technical Assistance projects mentioned in paragraph 210, since their

per diem should be paid from funds provided under the local costs plan.

SUPPLIES AND EQUIPMENT

380 Insert in the appropriate column the estimated amount required each

year under the various funds for the purchase of supplies and equipment.

Put an asterisk (*) against the amounts shown under "Other Extra-

Budgetary Funds" which have already been approved by the UNICEF

Executive Board.

FELLOWSHIPS

130 The estimated total amounts required each year under the various

funds should be inserted in the appropriate columns opposite the heading

"Fellowships". For budgetary purposes a distinction has been made

PART III BUDGET

MC/37 Rev. 3

page 10

local technical and administrative personnel, as well as labour;

local running costs directly associated with the projects;

costs of building directly connected with the project

(rent or construction costs);

equipment furnished by the government；

supplies and materials furnished by the government;

office supplies and space;

local transportation;

postal and telecommunication costs;

lodging for international staff and their dependants;*

travel per diem for duty travel in the country^

medical care for international staff.

between fellowships which form part of a project for which the

Organization also provides other services and fellowships which do not and

are therefore considered "projects in themselves"。 The estimated cost

of the former should be included on the WHO 28 for the related project.

A separate WHO 28 should be used for the latter under each major subject

heading in a given country。（See also para。430).

ESTIMATED GOVERNMENT CONTRIBUTIONS

400 The figures to be entered here should be obtained from the

governments concerned. The calculations of the government's

contributions should take into consideration the following itemss

NARRATIVE

For Headquarters and Regional Offices (including Regional Advisers)

410 Narratives for organizational units at Headquarters and regional offices

and for regional advisers, area representatives, etc. should give full and

* Items (i) and (j) should not be taken into account for projects financed from

regular funds as the cost of these items is to be met by the Organization.

(a)

(b)

(c)

(d)

(e)

(f) (g)

(h)

(i)

(j)

(Ю

PART III BUDGET

MC/37 Rev. 3

page 11

substantive information and not merely changes proposed and duty

travel planned.

For Projects

420 A narrative should be written for each project, including fellowships

considered as "projects in themselves", for which provision has been

made in 1956 or 1957 or both. It should describe the project fully,

giving inter alia:

- the purpose of the project；

-the results expected to be achieved;

- the number and titles of posts;

- the costs to be borne by WHO for personnel, supplies and equipment

and fellowships, if any;

- the date of commencement and estimated duration of the project;

and

- the main contributions which the government is making toward the

project.

DETAILS OF FELLOWSHIPS

430 Details of fellowships for which the totals have been listed elsewhere

on the form (see para. 390) should be given under this heading.

REMARKS

440 Any explanations which

those specifically requested

included in this space.

may be considered necessary in addition to

in the foregoing paragraphs should be

PART III BUDGET

MC/37 Rev. 3

page 12

FORM WHO 28a

450 The information to be given on this form has been requested by the

Health Assembly and the Executive Board. One form should be

completed for:

-each organizational unit at Headquarters；

-each regional and other office;

- the regional advisers in each region; and

- the area representatives (or zone officer) in each region

to support the totals shown for duty travel in 1956 and 1957 on the forms

WHO 28 for those units, offices, advisers and representatives. Form

WHO 28a is not used for duty travel in connexion with projects.

PROGRAMME AND BUDGET ESTIMATES FOR 1957

Table of Averages (for 1956 and 1957)

HEADQUARTERS, REGIONAL AND OTHER OFFICES (including regional advisers, etc.

Grade

D.2 - P.5

P.4 - P.3

P.2 - P.l G. 6 - G. 1 (or equi-

valent local grades)

II. PROJECT STAFF

Children's

Allowance

$ 240

180

60

20l)

Consultants:

Education Installation Travel on Init ial Home Leave

Grant

$ 50

50

50

Allowance

$ 800

750

400

2502)

Fees:

Travel :

Recruitment or

Repatriation

$ 750

500

200

1002)

$ 1， 900

100

600 1002)

Grade

P.4

P. 2 P.3 P . l

Dependants' Allowance

(including Children's Allowance)

and Education Grant

~ $ 250

50

$600

$600

Installation

Allowance

$ 600

450

Travel on Initial

Recruitment or

Repatriation

$ 9003)

8003

»

Transportation of

Personal Effects

$ 600

450

200

602 )

Home Leave

$ 7504)

7504)

Short-term Consultants: Senior Consultants

Junior Consultants

Fees； $700 per month

Travel： $600 per month

F ees 二 $400 per month

Travel. $600 per month

1) In the case of posts subject to local recruitment the incumbents are entitled to children's allowances and education

grants only if provided for in the local conditions of employment.

2) Applicable to vacant posts for which provision for non-resident allowance has been made.

3) Includes field equipment allowance.

4) Second year only (see para. 320 of text).

MC/37 f.

3

>nlla)><>

E B 1 7 / A P / 3 Rev. 1 APPENDIX 399

SUMMARY ANALYSIS OP EXPENDITURE IN 1952> 1953 AND 1954 ON CERTAIN ENTITLEMENTS FOR WHICH AVERAGES АПЕ USED

IN THE PROGRAMME AND BUDGET ESTIMATES

.The attached summary indicates the actual expenditure incurred during the

years 1952, 1953 arid 1954 on certain entitlements applicable

(1) to staff members at Headquarters, Regional and other Offices (including

Regional Advisers, Regional and Area Health Officers, and Area Representatives)

and

(2) to project staff.

The schedule also shows the averages, established in the light of the actual

expenditure during the three years, which have been used in the proposed programme

and budget estimates as set forth in Off. Rec. Wld Hlth Org. 66.

E B 1 7 / A F / 3 R e v . l Appendice 1 1 page 2 """

SUMMARY ANALYSIS OP EXPENDITURE IN 1952, 195) AND 195杯 ON CERTAIN ENTITLEMENTS FOR WHICH AVERAGES ARE USED

IN THE PROGRAMME AND BUDGET ESTIMATES

1. Headquarters, Regioiial and Other Offices (including Regional Advisers etc.)

Entitlements D2 - P5 P4 - P3 PS - Р1 G6 - G1 (or j equivalent |

local grades)

Recruitment and Repatriation Travel

Average 1952 expenditure 195З expenditure I95斗 expenditure

76$ 770 660

478

479 670 os

и m

м

M 农

00

92 ！ 95 }

114 j

three years 7)2 •

(14 cases)

542 (44 cases)

336 (17 cases)

100 (104 cases)

Average in use 750 500 200 100

Installation per diem

Average 1952 expenditure

1953 expenditure 1954 expenditure -J

ОЭ 00

00 M

V>|

--3 ro 0

-J -j

V>!

Ю \J1

VjJ

VjO

0 о <м

m

со ф

ф

гл к

\

0 ÇVI

0 Q гл

кл cu

three years 810 (11 cases)

735 (50 cases)

415 (15 cases)

277 (66 ! cases)

Average in use 8OO 750 400 250 !

Home Leave

Average 1952 expenditure 1953 expenditure 195斗 expenditure

2 014 1 928 1 8OI

1 16) 1 120 1 072

537 695 544

m cvi

才

m CVl C\J

rH rH

rH

three years 1 91杯 (48 cases)

1 118 (74 cases)

592 (72 cases)

1 , (122

cases)

Average in use 1 900

(48 cases)

1 100 600 100 1

SB17/AF/3 1 iippendix 11

3.. 一

Entitlements D2 -• P5 P4 .P5 P2 - P I Об - G1 (or equivalent

local grades)

Transportation of Personal Effects

Average 1952 expendítare 1955 expenditure 195^ expenditure

626 577 719

VJI

ViJ Ov

н->

c^vo vo

го м

ro

00 -

p- ro

00 I-1 C

D CO vo 0

m 0

rH r4

three years 641 (14 cases)

508 09 cases)

219 (25 cases)

90 05 cases)

Average in use 600 斗 5 0 200 60

Children's Allowance

Average 1953 expenditure I95斗 expenditure

241 276 fO

M

0 CO

OOVJ1 61 102

27 26

both years 258 196 81 26

Average in use 2 4 0 180 60 2 0

Education Qrant •

Average 1953 expenditure 195斗 expenditure)

) )

Average in use

Consultants1

Fees (por month)

Average 1952 expenditure 1953 expenditure 195斗 expenditure

three years

Average in use

All grades 6l (64 cases) " " 26 (50 cases)

Professional grades 55

Professional grades only 50

о о 8

2 5

6

6 6 6

646 (148 cases)

600

E B 1 7 / A F / 3 R e y . l ¿ Appendix 11...…'““ page 4 一

Entitlements D2 - P5 P4 - P3 P2 - PI G6 - G1 (or equivalent

local grades)

Consultants1

Travel

Average 1952 expenditure 1953 expenditure 195^ expenditure

VO

VO

VO

three years 655

Average in use 600

2。 Project Staff

Entitlements Grade

Recruitment and Repatriation

Analysis of 1953 expenditure gives average costs for travel and per diera of All grades 1 575

Analysis of 195^ expenditure gives average costs for travel and per diem of fi " 1 554

Both years 1 555

Average in use ( P4 - P ? 1 500

( P2 - P I 1 250

Home Leave

Analysis of 1953 expenditure gives average cost of All grades 1 377 Analysis of 195^ expenditure gives average cost of ii " 1 511

Both years 1 辦

Average in use 750

EB17/AP/3 Rev. 1 APPENDIX 12

PLUS AND MINUS FACTORS APPLIED TO THE ESTIMATED COSTS OF MAJOR ORG/VNIZATIONAL UNITS AT HHâDQUARTSRS

Ihe attached schedule indicates, by major organizational units, the total

amounts applied in respect of staff turnover, lapses in effecting replacements, step

differential and delays in filling new posts for 1956 and 1957 in Official Records

No,66 under Regular funds, at Headquarters.

^See Notes on the Presentation of the Programme and Budget . Off. Rec. H d Hlth Org* 66, pp xx and xxi, рагаз 6.4 to 6.8


PLUS AND MINUS FACTORS APPLIED TO THE ESTIMATED COSTS OF MAJOR ORGANIZATIONAL UNITS AT HEADQUARTERS

Organizational Unit

1956 1957


Staff Turnover: Locally recruited Internationally recruited

扮 C\J

0 CO 功

CO

份О

ON ЧО

-=j-;сО LO Vû lî=> 才

00

12 981 13 209

Lapses in effecting Replacements (6 857) (б 357)

Step Differential: Locally recruited Internationally recruited

(562) (990}_ 「ч

о ui

VÛ vo

0 го

、

V—‘

(8 409) (8 439)

Delays in filling new posts (2 675)

NET ADJUSTMENT 4 572 2 097

ADVISORY SERVICES (Headquarters)


3 135 4 557

5 192 ‘ 4 743

7 692 7 955

Lapses in effecting Replacements (3 553) (3 7^0)

Step Différé 'tial: Locally recruited Internationally recruited

(^07) (510)

(414)

(5^0)

(4 450) (4 694)

Delays in filling new posts (2 904) (551)

NET ADJUSTMENT . 338 1 2 710



3 477

5 952 1 lui

4J4

И气

i t

9 429 9灯29

Lapses in effecting Replacements (4 780) (4 572)

Step Differential: Locally recruited • • Internationally recruited G\

4=-

VO

0 M

1 “

•——s

ОЧ仁

G\、

Л

О H

>‘

-s—

(5 921) (5 685)

Delays in filling new posts (L抖7丄

NET ADJUSTMENT 2 3б1 3 746

EB17/AF/3 Rev.l APPENDK 12

PLUS AND MINUS FACTORS APPLIED TO THE ESTIMATED COSTS OF MAJOR ORQâNIZATIONAL UNITS AT HEADQUARTERS

the attached schedule indicates, by major organizational units, the total

amounts applied in respect of staff turnover, lapses in effecting replacements, step

differential and delays in filling new posts for 1956 and 1957 in Official Records

No,66 under Regular funds, at Headquarters.

"'"See Notes on the Presentation of the Programme and Budget -Off. Rec. H d Hlth Org, 66, pp xx and xxi, paras 6.4 to 6.8

(Б 357)

(4 780)

..7 925„.

(3 740)

(414)

(5 斗 о)

5 135 4 557

7 692

(3 533)

(407)

С510)

(8 〗Ю9) . Í Í J 2 9 L

(2 673)

4 572 2 097

(5 921)

(1 147)

2 5б1

)-

翌 б

15

3 7^6

丄丄 и

12 981 13 209





Lapses in effecting Replacements


Delays in filling new posts

NET ADJUSTMENT

Staff Turnovers Locally recruited Internationally recruited




NET ADJUSTMENT





NET AEJUSTMENT

孤7/AF/3 Rev.l App9ndlx 12 page 2

PLUS AND MINUS FACTORS APPLIED TO THE ESTIMATED COSTS OF MAJOR ORGANIZATIONAL UNITS AT HEADQUARTERS

Organizational Unit

1957

4

\ /

2 о

9 9

5 9

/IV/•

(6 857)

(562) (990)

1 oj

5 9

4 б

7 2

7 5

-

4 9j

55

23

I 7;

34 j

7 (5

9

2 1 о

7f-v 2-

7

5 б

4с:.丄訂

一 5

3 5

一

9一

4

¡

(

(斗 (6

$09

6 4

s 56

и 4

8

$ 2 9,

34

s 3 6

и Ir и

, 3

E B 1 7 / A P / 3 Rev. 1 APPENDIX 1 3

PLUS MD MINUS FACTORS APPLIED TO THE ESTIMATED COSTS OP REGIONAL OFFICES, REGIONAL ADVISERS, ETC.

The attached schedule indicates the amounts applied to the estimates for

regional offices, regional advisers, etc, for staff turnover, lapses in effecting

replacement^ step differential and delays in filling new posts for 1956 and 1957

in Official Records No. 66 under Regular funds.

1 See notes on the presentation Off. Rec. Wld Hlth Org, 66, pages XX

of the Programme and Budget -and XXI, paras 6.4 to 6.9«

EBX7/AF/3 Rev.l A^yendix 13 page 2

PLUS AND MINUS FACTORS APPLIED TO THE ESTIMATED COSTS OF iRBOTDN^L OFFICES, REGIONAL ADVISERS, ETC.

REGULAR

1956 1957

(a) Staff

turnover

(b) Lapses in effecting

replacements

(с) Step

differential

⑷ Delays

in filling new posts

f

Sub-total (b)(c)(d)

Net adjustment

(a) Staff

turnover

(b) Lapses in effecting

replacements

(с) Step

differential

⑷ Delays

in filling new posts

Sub-total (b)(c)(d)

Net adjustment

US $ US $ US $ US $ US $ US $ US $ US $ IS $ US $ US $ US $

REQIONAL OFFICES

Africa Thè Americas Soirth-East Asia Europe Eastern Mediterranean Wèstern Pacific

丨 M

V>1

VJ Г

О Vjn и

丨 VÛ

VJ1 о

v>i ro vo

О

VD

C

DV

jJ

О

a -f^r

a o

\ 4=r

¡ 1 1 \

/—X

M ГО M M

ГО M

О 0

VJ vo

0 ОЛ 0

4jJ

-t ON

VD V

_n

СГЛ 0

V£)

N—^

v»

4-х

1

(144) (396) (180) (2)4) (27O)

(1枓） (2704)

(121)) (历 6 ) (1516) (1971) (2275) (5917)

691 19ОО 864

II23 1295 (2013)

丨 ru

Ю

ГО

ЧЛ M

H vri œvjj

ro vc

COVJ

J 0

ГО О

СЛ О

СГл

(10Ó9) (2940) (1ЗЗ6) (1б0-'4) (2005) (120))

(144) (396) (180) (216) (270) (162)

(8847) (1990)

( 1 2 1 3 ) -(历 6 ) (1516)

(10667) (4265) (1^65)

691 19ОО 864

(7811) (695) 777

18088 (10156) (1368) (2704) (14228) 386О 18088 (10157) (1^68) (10837) (22362) (4274)

REGIONAL ADVISERS, AREA REPRESENTATIVES, ETC.

Africa Regional advisers Area health officers

1190 476

(808) (323)

(90) (36)

(5681) (6579) (559)

(5389) 117

1666 476

(11)1) (323)

(126) D 6〉

(2840) (4097) (359)

(24)1) 117

The Americas Regional.advisers Zone offices

2142 1190

(1455) (808)

(162) (90)

- (1617) (898)

525 292

2142 1190

(1^55) (808)

(162) (90)

- (1617) (898)

525 292

South-East Asia Regional advisers Area representatives

2856 1190

(19斗0) (808)

(216) (90)

(214)) (杯299) (898)

( № ) 292

3094 1190

(2101) (808)

(234) (90)

(2143) (4478) (898)

( 1 刑 292

Europe Regional health officers 1666 (11)1) (126) (1257) 409 1666 (1131) (126) (1951) (3208) (1542)

Eastern Mediterranean Regional advisers Area representatives

2618 238

(1778) (162)

(198) (18)

(2019) (2588)

(3995) (2768)

(1377) (2530)

2856 476

(1940) D 2 3 )

(216)

OQ - (2156)

(359)

700 117

Western Pacific Regional advisers Area representatives

2380 (1б1б) (180) (2588)

(1796) (2588)

584 (2588)

2^80 238

(1616) (162)

(180) (18) (2588)

(1796〉 (2768)

584 (2530)

15946 (10829) (1206) (15019) (27054) (11108) 1737^ (II798) ( 1 训 (9522) (226，） (5260)

STAFF TURNOVER FIGURES APPLIED BUDGET ESTIMATES

1 TO THE

The attached schedule gives the background data for the years 1952, 1953 and

1954 on which the percentages for staif turnover applied to the budget estimates

for 1956 and 1957 have been determined.

i See Notes on the Presentation of the Programme and Budget - Off. Rec. Wld Hlth Org.

66, page xx, para. 6.4 and 6.5

EB17/AP/3 Ra-г Д Appendix 14 page 2

STAFF TURNOVER FIGURES APPLIED TO THE BUDGET ESTIMATES

I, HEADQUARTERS

Departures Interrisitionally recruited staff Number %"""

1952 11 4.95

1953 8 3.63

1954 7 3.63

Three years 4^07

Average in use 3,5

Locally recruited staff

1952 25 11.85

1953 28 12.84

1954 22 11.64

Three years 12.11

Average in use 10.00

II. REGIONAL OFFICES, REGIONAL ADVISERS, etc.

Internationally recruited staff only

1952 11 7-59

1953 15 9.20

1954 U 11.26

Three years 9*35

Average in use 9«00

EB17/AF/3 ？tev.l 15

DEDUGYIOiJS APPLIED TO PHOCÍI二.32 Л11Б BUDGET ESTIMATES FOR 1

DELAYS IK ШРЪЭЕИТЛКЖ OF Ш1 PROJECTS (WITH FÛLL-ÏII1E rcHSOKNEL)

The following table indicates the total amount deducted from the estimates

relating to field activities for each region in respect of delays in the imple-

mentation of new projects in 1956 and 1957 - Official ？records Ko. 66« In those

instances "where no deductions are sho:/n, the new activities for the years and

regions concerned are of a short-term nature and do not provide for full-time

personnel.

Region 1956 1957

Without Supplement

Supplement With Supplement

Africa - 10 848 27 517 38 365

Americas . 6 194 - 19 624 19 624

South-Sast Asia 3 224 19 766 13 505 33 271

Europe - - 1 906 1 906

Eastern Hoditerranean 16 574 42 271 40 263 82 534

Western Pacific - 6 574 1 942 S 516

Region Undesignated 15 930 5 326 - 5 326

Total 41 972 84 785 104 757 189 542

1 See Notes on Presentation of the Programme and Budget - Official Records 66， xxi, para* 6ДО

EB17/AF/3 Eev. l APPENDIX 16

EXELANATOEY NOTES ON DETAILED COSTINO OF BILHABZIASIS CONTROL PROJECT IN AFRICA AS SET OUT IN THE ACCOMPANYING COSTING FORM

As this will Ъе a new project the estimated costs have been established on the

following bases :

1. Salary and Staff Insurance• Base step and one per cent, of the salary-

applicable for staff insurance, for each post.

2. Installation and Dependents Allowances. The established averages for each of

the vacant posts have been applied.

5. Recruitment and Repatriation. The established averages for recruitment have

been applied.

Project Service Allowance• The $ equivalent of the approved local monthly

allovance is computed for 11 months in this project, as the Installation Allowance

(see 2 above) includes provision for this allowance during the first month of

assignment.

5* Supplies aná Equipment• The amount provided is based on experience of estimated

requirements^

6. Duty Travel• The $ equivalent of the approved local daily Subsistence Rate is

multiplied by the number of days the Medical Officer and Laboratory Technician

are expected to travel within the country.

In accordance with the established budgetary practice a deduction, calculated on

the basis of the average delay of three months in the implementation of new projects

has been applied to the salaries and related costs of the posts concerned^ and included

in the amount of the overall deduction applied to the estimated total costs of field

activities.

3-690 Lab.Technician

January 1956

• [ 1957

F2

S 4800

3-6S9 Medical Off.

January 1956 1957

匚 [

Post number Functional title Name of incumbent Home station Date next within-grsde increment due •

Number of dependants (for field projects indicate X if residing with Incumbent)

№ of children eligible for educaf. grant Fund Grade and step as ai 1 January . . .

1. Salary 2. Cost-of-living adjustment . . . . 3. Installation allowance 4. Project service allowance 5. Dependants 6. Repafriafion grant 7. Pension Fund 8. Staff insurance 9. Duty iravel 0. Recruitment and repatriation . . • 1. Home leave 2. Transportation of personal effects 3. Reimbursement of income tax . • .

Field of Study

1956 1957 1956 1957 1957 1956 1957

匚匚 Ü 匚 • 匚匚

No. Fund Amount

Regular

1955 1956 1957 S

.12100.

1050 1614 „3.00.

121 1120 1.700


1955 S

1956 1957 Other Exfra-Budgetary Funds1

1955 1956 1957

Total (to be completed by HQ Budget Section) Remarks :

Duty travel within country calculated on basis 100 days travel during year at EAS 40/- per day.

Total 一 established posts 18005.

Temporary staff 一 salary 一 travel

Short-term consultants 一 fees (No. of months 一 fravel

Supplies and equipment . . . . Fellowships Participants in seminars and other

1000

meetings

Estimated Government Contribution : 1955 : 8 1956 : 1957 : 8

Date : Signature :

WORLD HEALTH ORGANIZATION PROGRAMME AND BUDGET ESTIMATES FOR 1957 Region and/or Organizational Unit : AFRICA

Country and W H O Project No . : ( ICP) EAST AFRICA 6

TA Request No . :

Major Subject Heading : EMDEf40-EPIDEMIC DISEASES

Descriptive Title oi Project : BILHARZIASIS CONTROL

Category (if to be financed from T. A. Funds) : 1956 1957 1 1

Date commenced >r expected to commence: 1 . 1 . 1 9 5 7 •

Estimated duration TWO YEARS

Number of Posts authorized for 1955 : REG | | ТА | |

Narrative :

The East Africa High Commission has requested the assistance of a medical officer and of a laboratory technician, to advance the study of bilharziasis and of its control and to elucidate further its significance in East Africa. Four African assistants willbe provided locally. Provision has been made officer and a laboratory technician (estimated cost, $18 005) and for supplies and equipment is expected that the scheme will last for at least two years.

for a medical ($1000). It

(If necessary, continue overleaf)

DETAILS OF ESTIMATES DETAILS OF FELLOWSHIPS

7

о

о 5

8

60

. ..P4 .. $

7300

7

о

о 5

8 2

73 560

8C

oi

')Specify PASB 'P), UNICEF (U) or other


EXPLANATORY NOTES ON DETAILED COSTING OF NURSING EDUCATION PROJECT IN THE AMERICAS AS SET OUT IN THE ACCOMPANYING COSTING FORM

This project is planned to commence in 1956 vith one Nurse Educator graded

to be followed in 1957 by a second Nurse Educator graded P.2. The 1957 costs have

therefore been established on the following bases :

1, Salary Costs. Assuming that the P.3 post will be filled in 1956 as planned,

the amount included for 1957 takes into account the appropriate stop increase

of $200. The amount included for the P.2 post is equal to the base salary.

2. Installation Allowance> The amount provided (for the P.2 post only) in 1957

is the established average for the grade.

5. Dependents Allowances» The amounts provided represent the averages established

for the grades concerned.

k^ Staff Insurance. The amounts provided represent ooe per cent, of the salary

costs.

Recruitment and Repatriation. The amount provided in respect of recruitment

(in the case of the P.2 post only) in 1957 represents the average established for

the grade.

6» Home Leave, The amount provided for home leave (in the case of the P.3 post

only) in 1957 represents the average established for the grade as the actual

amount of the entitlement cannot be determined before the post is filled.

7, Project Service Allovance. The equivalent of the established local monthly

allowance is computed for 11 months for each staff member in the initial year, as

the Installation Allowance (see 2 above) includes provision for tblfi allowance

during the first month of assignment• In the second year the local monthly

allowance is computed for the full 12 months.

8. Duty Travel. The equivalent of the local daily subsistence rate is multiplied by

the number of days the Nurse Educators are expected to travel within the country.

9# Fellowship» The estimated cost of this long-term fellowship has been determined

on the basis of experience.

1,440 250

1,320 50

匚匚

WHO

ñ/L s

6.000

；工：

I: о

о / Œ

WHP3so^

6 一

750 900 257 257 257 60 62 48

600 450

Nurse Educator Nurse Educator Vacant

January 1956 1957

Vacant

1 January 1956 1957

Field of Study

Nursing Education. WHO. 5 , 0 0 0 WHd 5,000

1956 1957 1956 1957 1956 1957 1956 1957

匚........匚 D 匚 • 匚匚匚. •M

1955 195&

.6,000 s

11,000

……6Q0.. 1,320.

250

60

90.0..

1957

450 2

r76Q.

…….300

má 咖50

T- 5 8 7

Technical Assistance 1955 1956 1957

$

Other Extra-Budgetary Funds 1

1955 1956 1957

Post number Functional title • • Name of incumbent Home sfsiion Dafe next witbin-grade increment due .

Number of dependants (for field projects indicate X if residing wifh incumbent)

No of children eligible for educat. grant Fund Grade and step as at 1 January • • .

1. Salary 2. Cost-of-living adjustment . . . . 3. Installation allowance 4. Project service allowance 5. Dependants 6. Repafriafion grant 7. Pension Fund 8. Staff insurance 9. Dufy travel

10. Recruitment and repafriafion . . . 11. Home leave 12. Transportation of personal effects . 13. Reimbursement of income tax . . . 14 — 15. — - •

WORLD HEALTH ORGANIZATION PROGRAMME AND BUDGET ESTIMATES FOR 1957 Region and/or Organizational Unit ： Regional Office for the Americas

Country and W H O Project No . : Ecuador 16 ТА Request

No . :

Major Subject Heading : Nursing

Descriptive Title ol Project : Nursing Education

Category (if to be financed from T. A . Funds) : 1956 1 1 1957 1 j

Date commenced r expected to commence : 1 9 5 6 Date commenced r expected to commence : 1 9 5 6

Estimated duration 1958

Number of Posts authorized for 1955 : R E G | | TA | |

Narrative ： in Ecuador, as in many countries of Latin America, there is a great need for graduate nurses in the

development of general public-health activities. The Government wishes to strengthen and expand the School of Nursing in Guayaquil and has requested the collaboration of the Organization, The objective of this project is to improve nursing education in Ecuador by strengthening the organizational pattern of the School and by developing a curriculum designed to integrate the social and public-health concepts of nursing. Plans will be made for co-ordinating the work of the School with that of government-supported hospitals and of the public-health services. In 1957 the Organization will provide two nurse educators (estimated cost， $16,684). A long-term fellowship is also proposed ($5,000).


DETAILS OF ESTIMATES DETAILS OF FELLOWSH IPS

Total (to be completed by HQ Budget Section) 9 , 3 8 7 8，959 7,725 Remarks : Total 一 established posts

Temporary staff 一 salary . 一 travel .

Short-ferm consultants (No. of months

一 travel Supplies and equipment Fellowships Participants in seminars and other educational meetings

Total

9 , 3 8 7

5,000

I A , 3 8 7 2 1 , 6 8 4

16,684

.5,000

Estimated Government Contribution : 1955 :

Daie :

1956: % 1 0 . 0 0 0 1957: $ Ж Ш . .

Signature :


о о

2 5

3 2

>

li

[ 匚

/I00

2 S8

p ，

4

8C

oi

EB17/AF/3 Bev.l APPENDIX 18

EXPLANATOBY NOTES ON DETAILED COSTING OP SYMPOSIUM ON THE PUBLIC HEALTH ASPECTS OF CHRONIC DISEASES IN EOEOFE AS SET OUT IN THE

ACCOMPANYING COSTING FORM

The provision for short-term consultants has been established on the basis of

three consultant months^ the relevant averages ($700 per month for fees and $600 per

month for travelling) being applied•

Travel, salary and per diem for two interpreters and tvo precis vriters for a

period of eight days are based on prevailing rates•

Travel of 32 participants from European countries and five discussion leaders is

computed by establishing the average cost of travel from the participating countries

to a central point in Europe.

The amount included for supplies and equipment covers the provision of inter-

pretation equlpirient and some medical literature*

WORLD HEALTH ORGANIZATION PROGRAMME AND BUDGET ESTIMATES FOR 1957 Region and/or Organizational Unit : EUROPE

Counfry and W H O Project No. : j Q p TA Request No . :

Major Subject Heading : ^ SCH

Descriptive Title of Project : SYMPOSIUM ON PH ASPECTS OF CHROMIC DISTAS!

Category (if to be financed from T. A. Funds): 1956 1 9 5 7

1 1

Date commenced or expected fo commence : 1957

Estimated duration : 3 MONTHS

Number of Posts authorized for 1955 : REG | | TA | |

Narrative :

Studies on chronic diseases have been ov are being initiated - an advisory group on atherosclerosis and degenerative cardiovascular disease in 1955 and a study on thepublic-health aspects of chronic diseases in I956. By I957 these studies will have progressed to a stage at which an exchange of information at a regional meeting would be profitable. It 丄 s therefore proposed to organize a symposium on the public-health aspects of chronic diseases, and provision has accordingly been made for participants from European countries (estimated cost, ?91〇0), and for the necessary consultant and servicing staff ($5900)•


DETAILS OF ESTIMATES DETAILS O F FELLOWSHIPS

Post number Functional title Name of incumbent Home station Date next within-grade increment due

Number of dependants (for field projects indicate X if residing with incumbent)

№ of children eligible for educat. grant Fund Grade and step as ai 1 January

Cost-of-living adjustment • Installation allowance . . Project service allowance . • Dependants Repatriation grant . . . . Pension Fund Staff insurance Duty travel Recruitment and repatriation Home leave Transportation of personal effects Reimbursement of income tax

1956

匚

1957

匚 •

1956 1957

匚

1956

• 匚 • 匚

1957 1956 1957 1956

• [

1957

Field о丨 Study

1956

匚

1957

1 9 Fund

i l s

1955 S

Regular 1956 1957

S

Technical Assistance 1955 1956 1957

Other Exfra-Budgetary Funds1

1955 1956 1957

Total (to be completed by HQ Budget Section) Remarks : Total 一 established posts

Temporary staff

~• f re vel Short-term consultants

一 fees (No. of months „...J......)

Supplies and equipment Pel lov/s hips Participants in seminars and other educational meetings . • .

630

6 6 0 . .

2100 1800

. . . 6 6 0

91CÔ..

Total 15000

Estimated Government Contribufion : 1955: S 1956 : $ 1957 :

Date : Signature :

8<NОНЛЛ


EB17/AP/3 Bev.l APPENDIX 19

EXPLANATORY NOTES ON DETAILED COSTING OF THIRD ASIAN MALARIA CONFERENCE (REGKMi UITOESXGBATED) AS SET ODT Ш THE АССОМРАШОТО COSTUSfa FORM

For this Conference, which is planned to last approximately two weeks, it vill

be necessary tp recruit short-term consultants. Provision for consultants has there-

fore been made on the basis of five consultant months at the rate of $600 per month for

fees and $600 per month for travel•

The provisions for précis writers and interpreters in an amount of Ф1,500, supplies

and equipment estimated to cost $2,200 have been based on experience.

For travel and per diem costs of 25 participants from the Western Pacific and

South-East Asia Regions, an amount of $25,000 has been included»

Post number Functional title Name of incumbent . . . . Home station' Date next wilhin-grade increment due

Number of dependants (for field projects indicate X if residing with incumbent)

No of children eligible for educat. grant Funci Grade and step as at 1 January

Cosf-of-living adjustment Installation allowance . • Project service allowance Dependants • . Repatriation grant Pension Fund . . Staff insurance . Duty travel . . . Recruitment and repatriation

Home leave Transportation of personal effects Reimbursement of income

1956

匚匚 . . • 匚

1957 1956 1957 1956

匚........匚 • 匚

1957 1956 1957 1956

• 匚

1957 1956

匚

1957

Field of Study Fund I Amount i

1955 Regular

1956 1957 Technical Assistance

1955 1956 1957 Other Exfra-Budgetary Funds1

1955 1956 1957

Total (to be completed by HQ Budget Section) Remarks : Total 一 established posts

Temporary staff “-~ Selfir^

Shorf-term consultants — f e e s (No. of months 5……）

Supplies and equipment Fellowships Participants in seminars and other educational meetings • . .

1500

3000 3000 2200

25000

Total 34700

Estimated Government Contribution : 1955 : $ 1956 : 1957: $

Date : Signature :

WORLD HEALTH ORGANIZATION PROGRAMME AND BUDGET ESTIMATES FOR 1957 Region and/or Organizational Unit : REGION UNDESIGNATED

Country and W H O Project No . : TA Request No . :

Major Subject Heading : MALARIA. & INSECT C0NTBDL

Descriptive Title of Project : THIHD ASIAN MALARIA CONFERENCE

Category (if fo be financed from T. A. Funds) : 1.9 5 6 1 1 1957 1 1

Date commenced or expected Date commenced or expected

Estimated duration : ABOUT 2 WEEKS

Number of Posts authorized for 1955 : REG | | TA | |

Narrative :

To bring together aalariologists responsible for national campaigns in the Western Pacific and South-East Asia Regions and thus to enable them to discuss their experiences and problems *Lth other experts and With representatives of international organizations and bilateral assistance bodies, it is proposed to hold a Third Asian Malaria Conference in 1957, three years after the S

econd Asian Malaria

Conference. It is believed that such a conference would help to clarify the technical an! administrative aspects of malaria eradication campaigns in the two regions^ particularly those that have came to the fore since earlier Asian malaria conferences.

An invitation has been received from the Government of Indonesia to hold the conference in that country»


DETAILS OF ESTIMATES DETAILS OF FELLOWSHIPS

COCNoi

')Sp*ci»y PASB (P). UNICEF (U) or olh«r

Chart 8

1955 1952 1953 1954 1955 О

WHO бою

NUMBER OF COPIES OF THE BULLETIN (left) AND THE DIGEST (right) DISTRIBUTED IN THE YEARS 1952-55

2000 2000

1500 1 cnn

Unpaid distribution Sales

к. 1 E э

Z

1000

500

s.®dou

о Joqulnlsl

>T3-Denfirx

юо

Appendix 21

3000

2 000

1000

о

WHO 6017

3 000

2 000

0 g.

и 卞 1 E э

Z 1000

Spanish English French (1954) (1955) (1955)

Unpaid distribution Sales

Chart 9

NUMBER OF COPIES OF THE PHARMACOPOEIA INTERNATIONALES, VOL. I, SPANISH EDITION

(left) AND OF VOL. II, ENGLISH AND FRENCH EDITIONS (right) DISTRIBUTED FROM DATE OF

PUBLICATION TO END OF 1955

sdaou jo

Jdqlunz

Appendix 22

Chart 10

DISTRIBUTION OF NUMBERS 21-26 (English and French) IN THE MONOGRAPH SERIES

m Unpaid distribution Sales

The double columns represent total distribution since publication of English (left) and French (right)

editions of monographs, indentified by their series numbers. The single column (No 25) indicates

an edition in French only

The titles of the monographs ar« :

21 The Rural Hospital 24 Donovanosis

22 Plagu* 25 Terminologie du Paludisme

23 Laboratory Techniques in Rabies 26 Poliomyelitis

Appendi

Chart 11

DEVELOPMENT OF SALES OF WHO PUBLICATIONS,

1950-55

US $ 1000 US $ 1000

/ 100

on

100 r 100

on 80 z 60

> Af\ 40 z 20

n

-

Z\J

0 1950 1951 1952 1953 1954 1955

WHO 6013

The graph shows the trend of sales as indicated by the face value of publications invoiced to sales agents in each of the years 1950-55. Sales of International Certificates of Vacci-nation, and direct sales of publications to governmental agencies, are not included in the figures.


INSECTICIDES AND VECTOR CONTROL

(Schedule and subjects of Meetings since 19钰9)

1. The overall programme on insecticides and vector control is composed of the fallowing：

Specifications for insecticides, rodentiсides and molluscacides；

Equipment (i) for application of insecticides and (ii) for the protection of workers applying them；

Toxicology of pesticides to man;

Biological matters, including resistance of insects to insecticides and techniques for control of insects；

Disinsectization of ships and aircraft.

2, Each part of this programme invalves a different group of experts including chemists, biologists, toxicolôgists, engineers and quarantine officers,

3. The following meetings have been held on the above subjects since 19扛9:

Main Subject

Expert Committee on Insecticides, May 19杯9 Disinsectization of Ships

and Aircraft,

Minor Subjects

Equipment. Specifications of Insecticides.

Main Subjects

Expert Committee on Insecticides, October 1950 Disinsectization of Ships and Aircraft, Specifications of Insecticides.

Expert Committee on Insecticides, July/August 1951 Equipment.

EB17/AP/3 Rev. 1 Appendix 2杜 page 2

Expert Committee on Insecticides, November/December 1951

Symposium (sponsored by Regional Office for Europe) October 1955

Expert Committee on Insecticides, September 195钰

Main Subjects

Specification on 工nsecti-cides.

Control of Vectors of Disease.

Specifications of Pesticides,

Expert Committee on Insecticides, October 1955 Equipment for application of insecticides and molluscâcides. Protection of workers applying toxic insecticides. Disinsectization of air-craft.

The following meetings are planned for 1956

Expert Committee on Insecticides, July 1956

Study Group, June 1956

5. The following meetings are planned for 1957

Technical Conference of Directors of Laboratories engaged in research on the resistance of insects to insecticides, 1957

Expert Committee on Insecticides, 1957

Biology - resistance of insects to insecticides.

Toxic hazards of pesticides to man (in collaboration with FAO and ILO).

(1) An evaluation of the progress of the collabora-tive programme of research on insect resistance. (2) An exchange of information on research on resistance.

(1) Methods to be used for control of resistant and non-resistant insects. (2) The present status of resistance- in field programmes•

⑶ Problems requiring concentration of research.


Estimated Costs of Projects Implemented in 1955

The attached schedule lists, by region and by country, the estimated

costs of projects implemented under the Regular Budget in 1955， differentiating

between projects which continued in operation from 1954, individual fellowships

constituting projects in themselves and new projects. Projects completed

during 1955 are marked with an asterisk.

AFRICA

Angola, Mozambique and Portuguese

Territories

Malaria and Insect Control Tuberculosis Venereal Diseases and Treponematoses EndemoJEpidemiс Diseases - Leprosy Nursing Maternal and Child Health (General) Maternal and Child Health (School

Hygiene) Nutrition

Basutoland

Nutrition Survey and Control

Beohuanaland

Belgian Congo and Ruanda, Urundi

Tuberculosis Endemo-Epidemio Diseases Maternal and Child Health Other Projeots

Federation of Rhodesia and Nyasaland

Health Education of the Publia -Development of Rural Health Services 2 700

Projects continued from 195斗

( D

Individual Fellowships constituting projects in themselves

(2)

$

Endemo-Epidemic Diseases

French Africa (Undesignated)


5

3

New Projeots

⑶

$

1 8oo

$

EB17/AF/3 Rev.l

Appendix 25 page 2

;

Estimated Costs of Projects Implemented in 1955

000000 00

000500 о

о

3 5 3 1 о

7

о

3

3 7 38

3

2 15

о о о о

0 о

1

5

1 8 о

5

3 2 4 1

EB17/ÁF/3 Rev. Appendix 2.5 page 3

Projects oontinued from 1954

(1) $


(2) $

$

5 200

700

4 420

10 350 2 700

1 400

32 074

400

17 970

$ Gold Coast

Health Education of the Public

Kenya

Public Health Administration (Rural Health)

Mauritius

Nursing

Nigeria

Malaria and Inseot Control Endemo-Epidemiс Diseases - Leprosy Environmental Sanitation - Water

Supply

Seychelle Islands


Tanganyika

Training of Auxiliary Personnel

Uganda

Nutrition

Union of South Africa

Tuberculosis

Public Health Administration Social and Occupational Health

ООО 9

98 ?

4 3 2

EB17/AF/3 Rev.l Appendix 25 page 4

••

Projects • continued from 1954

( D


(2)

New Projects

D )

Total

Zanzibar

$ $ $ $

Public Health Administration 5 300

Inter-i>ountry Programmes

Malaria Conference Inseet Control Oourse (Rome) Yaws Conference Bilharziasis Conference Rabies ôourse and Seminar Report on Conference on Onchocer-

ciasis Environmental Sanitation Seminar Medical Literature

* 500

*

100

* *

* *

本

本

О 00

О in 00

ÎH S o

00 m

00 см

00 CVl

iH rH

Total - AFRICA 43 024 87 500 99 615 250 159

EB17/AF/3 Rev.l Appendix 25 page 5

； . ••.

Projects continued

from 1954

⑴


⑵

New Projects

(3)

Total

(f)

AMERICAS

$ 1 1

Argentine

Medical Records Other Projects

3 650 2 900

Bolivia

Nursing Education Environmental Sanitation

22 970 2 000

Brazil

PHA. - National Drug Services Maternal and Child Health

v Laboratory Techniques Health Education of the Public

2 000 1 050 2 500

1 550

Chile

Venereal Diseases and Treponematoses -Cardiolipin Centre

Health Education of the Public -Medical Ca^e

Maternal and Child Health 3 900

7 9 2 0

4 920

Ecuador

Tuberculosis Teaching Centre Rural Public Health Services

6 55伙 19 150

El Salvador


Guatemala

Rural Health Services Training of Auxiliary Nurses

34 760 10 300

EB17/AF/3 Hev.l Appendix 25 page 6

• • • . . . . . .

J

Projects continued

from 1954

⑴


(2)

New Projects

(3)

Total

(4)

AMERICAS . . Y $ $ $

Haiti

Venereal Diseases and Treponematoaes

Nursing - Training of Midwives 15 630

8 620

Mexico •

Endemo-Epidemic Diseases - Virus Centre PHA - Integrated Health Services Other Projects 5 550

3 000» 6 260

Nicaragua “

Nursing Education Nursing 2 850

26 830

Panama

Nursing 3 400

Paraguay

Endemo-Epidemic Diseases - Leprosy Other Projects - Department of Preventive Medicine 3 850*

1 050

Peru

Other Projects 6 250

Surinam

ТВ - BCG Vaccination 1 460

USA



Projects Individual continued Fellowships New from 1954 constituting Projects Total

projects in themselves

⑴ ⑵ (3) ⑷ . J I $

AMERICAS

Inter-Country Programmes

BCG Statistician 4 97Э»

Leprosy Control 3 110* Rabies Control 18 820

Vaccine Testing 3 730 , Seminar on application of International Sanitary Regulations 7 860

Laboratory Biological Facilities 5 100 Latin American Centre for Classificatior of Diseases 6 600

Health Statistics 14 390

Advanced Nursing Education 15 960 Cultural Anthropology 21 210

Health Education 3 830

Seminar on Mental Health 27 540«-

Nutrition 4 320*

Environmental Sanitation Training 69 980 Waterworks Training Course 11 380 Medical and Public Health Education 37 510

Semina亡 on Teaching of Preventive 37 060 Medicine 37 060

Veterinary Medical Education 7 550* Survey of Paediatric Education 4 93СЖ

Total • THE AMERICAS 270 510 42 710 208 700 521 920

EBX7/AF/3 Rev.l Appendix 2， page 8 —

Projects Individual continued Fellowships fron 195杯 constituting New Projects Total


( D ⑵ 0 ) ⑷

SOUTH-EAST ASIA

$ $ $ $

Afghanistan

Strengthening National and Pro-

vincial Health Administrations 16 100 Environmental Sanitation - Assis-

tance to Health Directorate 18 200 Faculty of Medicine, Kabul У\ 600 Refresher Course for Medical

Officers l 350

Burma

Leprosy 5 ООО Vital and Health Statistics 2 700 Public Health Adviser 9 740 Medical Stores Management 2 500 Selected School of Nursing,

Dufferin 15 900 Refresher Course - Nursing 1 150 Strengthening of Health Educa-

tion Bureau 4 950 Refresher Course in Domiciliary

Midwifery 1 150* Mental Health 4 450 FAO/WHO Nutrition Project 12 600 Post-Graduate Course in Public

Health for district Medical Officers * 1 840

Health Assistants School 12 700

Ceylon

Tuberculosis Adviser 12 050 Leprosy 15 700 Colombo School of Nursing 5 200 Mental Health 3 250 Environmental Sanitation Adviser *

on Conservation and Use of Watei 4 5 000

Training of Anaesthetists and Operating Room nurses 13 200

EB17 /AF / 3 R e v . l Appendix 25 page 9

India

Thoracic Surgery Plague Research Trachoma Pilot Project Public Health Administration Nursing, Calcutta Nursing, Bombay Nursing, Refresher Course Nursing

MCH/ïîursing, Bihar MCH/Nursing, Hyderabad МСН/Ííursing, Madya Pradesh MCH/Nursing, Travancore Cochin MCH/^ursing, Uttar Pradesh All-India Institute of Mental Health Seth G.S. Medical College

India (Former French Settlements)

Projects continued from 195杯

(1)

New Projects

i l l $

10 650

11 800

Anaesthesiology

Indonesia

Leprosy Dental Health Advisory Services Post-Graduate School of Nursing,

Bandung Mental Healtb Gadja Mada University Medan Medical School

Nepal

Malaria and Insect Control

Portuguese India

Other Projects

Total

$


⑷

$

5 ООО

3 500

000

3 000

3 300

900 900 боо

26 200 31 боо 3 400

8 500 37 750

12 12

2

10 200

13 850 11 700、

5! V 200 Щ

000 1

EB17/AF/3 Rev,X Appendix 2$ page 10

Projects Individual continued Fellowships from 195杯 constituting New Projects Total

л • projects in . . . . . _ themselves

• • • . a ) (2) (3) ⑷

Thailand

$ $ $ $

Leprosy Control 5 200 School Health Project,

Chachoengsao 17 700 Nursing - Rural Health Programme 8 ООО

* Nursing, Refresher Course 3 080 Fundamental Education Project,

Ubol ；

5 100 Maternal and Child Health 900 Mental Health Clinic 13 900 Mental Health 1 700 *

Assistance to Schools of Public Health 1 300


Yaws Conference in Nigeria 10 000* PHA - Rural Health Conference 5 500 Seminar on Industrial and

‘ * Occupational Health 3 300

PA0/WH0 Seminar on Nutrition and *

Health Education 7 ooo* Environmental Sanitation Seminar 16 100* Conference on Medical Education 7 550 Medical Literature 1 ООО

Total • SOUTH-EAST ASIA 4)2 750 24 400 148 790 605 9^0

EB17/AF/3 Rev.l Appendix 25 •ммймйьм фммммм чаммьч» page 11 •‘

Projects continued from 1954

(1)

Individual Fellowships constituting projects in the 找，Ives

New Projects

(3)

Total

(4)

EUROPE $ 妨

Austria

Sera and Vaccine Production Rehabilitation of handicapped

children Mental Health Nutrition

1 349

1 400 900

2 670

Belgium

Public Health Administration Mental Health Other projects

3 100 800

5 550

Denmark

Nursing Mental Health Other Projects

4 850 1 750

2 150

Finland

Public Health Administration Mental Health

3 250 900

France

Endemo-Epidemic Diseases Public Health Administration Nursing Maternal and Child Health Mental Health Environmental Sanitation

CV

IA О o о

to О

"st- v

O ГЛ

tx

i O

^ ^D

O

c^sO

寸

cv

Germany

Public Health Administration Nursing Mental Health

5 150 1 300

750

EB17/AF/3 КауД Appendijt-2.5 .‘ page 12

•


( 1 ) ”


(2) •

New Projects

(3)

Total

(4)

Greece $ • $ Ф 1

Ende mo -Epidemic Diseases Nursing

Maternal and Child Health Other Projects

400 . 1 500

3 950 414

Iceland

Ende mo-Epidemic Diseases

Maternal and Child Health

1 200 2 000

•

Ireland

Tuberculosis Endemo-Epidemic Diseases Public Health Administration Mental Health

О гН

СЧ о

О 寸

iH

о О

О iH

C^

1-1 iH

«H о<

Italy •

Endemо-Ерidemic Diseases Public Health School Social and Occupational Health Health Education of th€ Public Rehabilitation of Handicapped

children Care of premature infants National Conference on rehabilitation

of Handicapped Children Maternal and Child Health Mental Health Environmental Sanitation

1 обо

1 964 1 4 0 8

507 755 74Й

2 203 4 200 1 732

2 3 5 *

Morocco (french Zone)

Endemo-Epidemic Diseases Public Health Administration Health Education of the Public Sanitary Engineering

о о

«л »н

О CV

ОТ о寸

о

«

CV гН

EB17/AF/3 Rev.l Appendix 25 page 13 .

Netherlands

Endemo-Epidemic Diseases Public Health Training Centre Public Health Administration Nursing Mental Health

Norway

Public Health Administration Environmental Sanitation

Portugal

Tuberculosis Endemo-Epidemic Diseases Public Health Administration Nursing Social and Occupational Health National Courses in Sanitary

Engineering

Spain

Public Health Adninistration Mental Health Nutrition Other Projects

Sweden

Endemo-Epidemic Diseases Public Health Administration Maternal and Child Health Mental Health

Projects Individual continued Fellowships from 1954 constituting New Projects Total


(1) (2) (3) (4)

$

530 4 649*

1 803 450

3 140

5 976 748

1 425 850

1 815 1 000 1 478

1 000

898 1 350

950 2 126

451 1 750 2 547 1 199

E B 1 7 / A F / 3 - R W A

Appeogiy. 25-.. ...；."„ ：

page Í4


(1)


(2)

New Projects

(3)

Total

(4)

$ $ $

Switzerland

Endemо-Ерidemic Diseases Public Health Administration:

Dental Health Nursing Consultant Mental Health

2 050

2 275

1 491 1 000*

Tunisia

Tuberculosis Endemo-Epidemic Diseases Nursing Other Projects

О О

О

in m ir\ v£>

vO lf\ г-

rH r-i

Turkey

School of Public Health Ankara Public Health Administration Nursing Health Education of the Public Other Projects

‘

1 000 800

3 750 1 000

643

United Kingdom

Endemo-Epidemia Diseases Public Health Administration Nursing Maternal and Child Health Other Projects

799 1 727 2 131

498 1 069

Yugoslavia

Rehabilitation of handicapped children

Other Projects 7 113 1 200



Follow-up of inter-country-activities on national basis


Malaria Conference, Belgrade Insect. Control Training Course Advisory Group on Tuberculosis

Control •6n6real Diseases and Treponematoses:

Rotterdam Port Demonstration Centre Poliomyelitis Training Course Seminar on virus and Rickettsial

Diseases Advisory Group on Veterinary Public

Health Rural Public Health Training Courses Scandinavian Public Health Training

Courses Morbidity Survey , Monograph on Public Health

Administration in Europe Advisory Group on Nursing School

Curriculum Nursing Advisory Group on Cardiovascular

Diseases Pilot Study of family health and

welfare workers Conference on training and

utilization of family health and welfare workèrs

Study of changes in health services necessitated by aging of population


(1)


(2)

New Projects

(3)

Total

(4)

$ 迹敏

500

3 ooo: 5 800

10 250*

$

1 обо* 3 700

2 600

4 200* a 880

14 870 3 ООО

6 350

500*

S 900*

5 30(f

•

1 600*

? 750



Training course for health physicists Social and Occupational Health International Children

1

s Centre Training Courses

Advisory Group on Mental Health Aspe ets of Public Health practices

Study on separation of mother and child

Seminar on child guidance UN Seminar on children in incomplete

families Survey of children in Austrian

Refugee Gamps Survey of Alcohol problems in Europe Regional Advisory Group on Water

Standards Study on Sanitary Engineering terms

in Europe Europe an Seminar for Sanitary-

Engineers Anaesthesiology Training Centre,

Copenhagen . Anaesthesiology Training Centre, Paris Preparation of 1956 inter-courrtry

activities Medical Literature Reproduction of Reports

Total 一 EUROPE


(1)


⑵

New Projects

(3)

Total 1

i

( 4 )丨

4 240 12 000*

i ¡ i

¡

13 650 i

8 950*

19 780 3 000

400* j l

500^ 8 000

3 500

i

i

3 700 i

6 820

18 SOO^

19 120、 i

1 450 5 580

3 200* j

114,452 154 627 99 098 368 177

EB17/AF/3 Rev.l v •Appendix 2$ . pagu 17

EüSTERN MSDITEHRMEAN

Egypt

Malaria and Insect Control Venereal Diseases and Treponema-

toses Sanitary Engineering Course,

Alexandria University Visiting Team of Medical ’

Scientists Other Projects

丨 ,* Ethiopia ： ' * '

Training of Auxiliary Personnel Other Projects

Iran

Malaria and Insect Control Public Health Laboratory Садсег Public Health Administration Mental Health Radiology, Firousabad Hospital Other Projects I.

• í ¿

Iraq •‘ ：‘ ：

Leprosy

Endemo-Epidemic Diseases ‘

(Plague) Maternal and Child Health Other Projects

Projects Individual continued Fellowships from' 1954 constituting New Projects Total


( D (2) (3) (4) $ . # “ $

V

800 1 200 • • , • . ‘ . ‘

1

•"‘

15 700

.16 ООО*、. 5 950 .

48 600

. ‘ . . • . : 、 , “ . - ,

1 700

800 21 200 :

7 150 . 2 200 2 500

4 800* 2 500

4 800* 7 470

* • . ' 4 ООО •

.60Q 700

.13 200

EB17/AF/3 Pev. l Appendix 2.5 page 18


(1)


⑵

New Projects

( 3 )

Total

(4)

Israel

筋 «

Rehabilitation of the Physically Handicapped

Public Health Laboratory Public Health Administration Nursing Chronic Diseases Control

6 600* 8 100

7 100 1 TOO

6 400*

Jordan

Mental Hospital Superintendent Mental Health Other Projects

10 ООО

3 000 2 100

Lsbanon

Rabies Public Health Administration Handicapped Children

1

s Centre Other Projects

720 6 800

300 12 900

Libya

Health Education Programme Maternal and Child Health Environmental Sanitation Other Projects

6 900 26 200

4 800 9 5C0

Pakistan

Public Health Administration Maternal and Child Health,

Karachi Assistance to Medical Schools School of Physiotherapy, Karachi Other Projects

36 100 9 400

3 200

4 450

U 400

EB17/AF/3 Rev .l Appendix 25 . page 19 ••-

•Î i * . • л .

Projects . continued фщ 1954

j (1)


(2)

New Projects

(3)

Total

(4) - л -！ $ $ # %

Saudi Arabia

Quarantine Station for Pilgrims Public Health Adviser Anaeethesiology Blood Bank Other Projects

9 200: 6 200

v. «

1 500

1 750 9 200

Sudan • • 、

Tuberculosis.. Sleeping Sickness Control Rabies Control Nursing School, Khartoum Mental Health Other Projects . 、

2 200

600

1 350 400

17 200

8 SCO

gyria

Bejel and Syphilis Control Venereal Diseases and

Treponematoses Bilharzia and Malaria Ankylostomiasis Survey School Health Services Plague Research Nursing Other Projects

23 350

42 600

20 200

1 2CO

700 1 500 9 200

3 300*

Yemen

Public Health Adviser Other Projects

10 800 9 200

EB17/AF/3 Rev . l Appendix 25 . page 20 ••-


(1)


(2)

New Projects

⑶

Total

(4)

Inter-Countiy Programmes

银

Smallpox Vaccination Public Health Seminar Maternal and Child Health Seminar Mental Health Environmental Sanitation

Conference Environmental Sanitation

Conference, Ibadan Meat Hygiene Seminar Medical Literature and Teaching

equipment

1 800

1 ООО

..12 ООО:.、 •： 2 3 1 5 0

1 500

2 ООО

1 200* 3 500

Total - EASTERN MEDITERRANEAN 305 950 108 640 136 250 550 840


Projects continued from 195斗

⑴


(2)

New Projects

⑶

Total

⑴

1 ，

WESTERN PACIFIC

$ $ $ $

Australia


Cambodia

Public Health Advisory Services Training of Nurses •

11 350 28 920

China

Tuberculosis Control Venereal Diseases Control Mental Health Environmental Sanitation Vital and Health Statistias Anaesthesiology

25 770

16 78o

5 500

) 9 5 0

14 300

13 920*

Fiji --‘.’..’， . ...，

Public Health Administration Central Medical School

2 100

19 610

Hong Kong

Tuberculosis 2 800

‘Japan

！

Training of Nurses National Institute of Mental

Health Mental. Health Institute of Public Health National Institute of Health

and National Hygiene Laboratory

Anaesthesiology

1 64o*

6 450*

8 100

3 500 4 050

15 790

EB17/AF/3 Rav.l , Appendix 25 page 22


(1)


(2)

New Projects

⑶

Total

w

$ $ $ $ Korea

Endemo•Epidemic Diseases 16 350

Malaya

Rural Health Training Centre 14 470

Netherlands New Guinea


Philippines

Tuberculosis Public Health Advisory Services Preventive Dentistry Environmental Sanitation Programme

3 800

5 000 2 020

11 620

Singapore

Public Health Administration: Urban Health Centre

Mental Health 15 000 J> 600

Viet Nam

Public Health Advisory Services Other Projects

18 030 1 450

Western Samoa

Mental Health 850

EB17/aF/3 Rev.l Appendix 25 pago 23 、•：


Yaws Control -Dental Health Medical Literature and

Teaching Equipment Regional Health Education

Conference

Total _ WESTERN PACIFIC


(1)


(2)

New Projects

0)

Total

⑷

$ $ $ $

23 76O

1 050*

250

22 400*

147 330 88 750 100 710 790


REGION UNDESIGNATED

Malaria Eradication: Inter-Eegioml Co-ordination

Grants and contractual technical services and other forms of research co-ordination

Production of Malaria film UNIWA (Malariologist) Administrative Officer Liaison with UNICEF -

Bangkok New York Paris

иШ/А (Public Health Personnel)

Total — EEGION UMDESIGKATED

TOTAL _ ALL REGIONS

Projects continued from I95I+

(1)


(2)

•

w i New ；

Projects 1

！ 1

(5丨）• I Í

Total

$ $ $

20 ООО j

k 8 0 0

6 ООО k ООО*：

2 4-19

•

19 000 19 000 12 7OO

15 000

i .

í {

70 5OO 32 hl9 ; L 102 919

1 5 糾 51б 506 627 ssssss 二 : 二 sssss:

8 2 5 582 2 7I6 725

Projects completed during 195， marked vith an asterisk in the above table

Africa 6 0 0 6 5 0 8 0 65 6 8 0

Americas 15 З70 58 570 73 7^0 South-East Asia 37 3ОО 65 330 1 0 2 6 3 0

Europe 39 2 7 8 67 33^ 1 0 6 6 1 2

Eastern Mediterranean 2 2 000 64 3 5 0 8 6 550 Western Pacific 8 0 9 0 37 3 7 0 的红60

Begion Undesignated 000 If ООО

1 2 2 6 3 8 5 6 1 83紅 1+8!+ hj2

EB17/AF/3 Rev.l APPENDIX 26

SPACE OCCUPIED BY ШО IN 1ÏÏE PALAIS DES NATIONS

Description of space occupied

1# The World Health Organization occupies 271 offices representing a total surface

a m of 66 095 • 49 sq, ft, eight rooms used as a library reading room, briefing room,

travel agency office etc. and covering a total surface area of 3455.88 sq. ft, and

four committee rooms having a total surface area of 2871• 63 sqf ft

5 in all a surface

area f f 72 423 sq. ft,

2, A review of this space and its allocation to staff must take into account the

nature of the building and of the staff occupying it. As to the nature of the

buildingд the space occupied consists of a small nimiber of large offices designed

to be occupied by a single person and therefore difficult to use in any other way；

a few large rooms which are required for committeesj and the remainder consists of

small offices strict]^ too large for one person, reasonable for two, but inadequate

in most cases to be shared by three or more persons. The interior walls are of

solid masonry construction which for all practical purposes means that they are

immovablef and of course effectively prevent the transmission of light. In other

words^ economy in the use of space is limited by certain fixed factors,

3, As to the nature of the staff, it is evident that in an organization employing

the number of professional staff which WHO requires, there is a large number of

staff, the nature of т-àiose work dictates that they should occupy an office by theirw

selves. Unfortumtely as is indicated in paragraph 2 above this means that those

persons must unavoidably occupy floor space of a greater area than would be the oase

if smaller private offices were available. SimilarЗу^ some offices are shared by-

two persons could equally well have space in a imich larger general office, and

thereby require less surface area. However9 such space does not exist. The follow-

ing figures show the allocation of offices in this respect and the space allowed t о

persons of different categories

E317/AF/3,Rev.l Appendix 26 page 2

No. of staff No. of offices Size of •

1 1 1 1

Sq. ft

HQ EURO HQ ! EURO offices per person ！ (sq. ft)

Senior executives (Ш, DDG, ADsG and Directors

Other executives and staff requiring privacy owing to the nature of their work

17

101

2

1С

17

98

2

10

225.96 -449.77

185.93 -282.13

325.83

Staff sharing offices 518 ¿4 129 15 277,82 (average)

Í13.65

Total 43S 46 1 244 27

N.B. No deduction has been made from these figures for space required for filing cabinets^ shelves^ cupboards etc. in offices

4o, Unfortunately there continue to be staff sharing offices^ the nature of whose

work demands, in the interests of obtaining the highest degree of efficiency, that

they shonld be on their own. Ihis situation has existed for some time, during which

period it has been apparent that the space requirements for the Headquarters staff -

are inadequate.

% However, since it has been known that the European Regional Office would ulti-

mately move from the space allocated to it in the Palais des Nations and that, at

such time, the space woyld become available to Headquarters staff, no attempt

has been made to obtain additional s p ^ e . The move of the European Regional Office

is to take place in the Spring of 1957，and only then will it be pôssible for the

space which they occupy to be made available for Headquarters staff.

6. The space now occupied by the European Regional Office is part of the total

office space in the Palais des Nations available to WHO under the terms of its agree-

ment with the United Nations。 The crowded space facilities of Headquarters staff

will be somewhat alleviated when the European Regional Office is able to release the

space it occupies. It is expected that this will enable a rearrangement to be

effected lAiich will give reasonably satisfactory results so as to permit the efficient

functioning of Headquarters staff at its present level,

í

kn allowance has-been made in computing this figure for consultants and other temporary staff who normally share an office having otherwise a single occupant.


6.2 While at this 忒age it is not possible to be precise as to the exact manner

in idiich the additional office space becoming available in 1957 will be allocated

to the staff, it is expected that it will provide results somewhat along the lines

reflected in the following tablet

No. of staff No. of Offices Sq, ft. per person

Senior executives (DG, DDQ, ADsG and Directors) 17 17 323.03

Other executives and staff requiring privaqy owing to the nature of their work 103 no1

161,7S2

Staff sharing offices 326 1Д4 Х2Л.86

Д46 271 •

1 The additional offices would be consultants and other temporary staff. for

2 This figure has been adjusted to allow for the sharing of offices with

consultants and other temporary staff for whom separate offices cannot be provided from the seven available. See footnote 1.


Services related to the accommodation

7о The facilities provided are:

-heat^ li^it^ power and water suppliesj

-cleaning^ usher and messenger service；

-local telephone service

Method of calculation of the charges

Ihe method of calculation of the charges may be summariaed as

calculation of the present reimbursement rates was made in 1950 on

actual costs in 1949 of the following items :

- a l l salaries and common staff costs of all the divisional staff below

the office of the Chief of Division in the Building Management Division

of the UN European Officej

-salaries of all temporary assistance used by this Division as leave

replacements, reinforcements for conferences, etc.j

• the cost of all public utilities and local telephone services i

- t h e cost of laundry services and miscellaneous supplies；

- t h e cost of all e^enditure on maintenance of premises j

- t h e cost of servicing ttie offices occupied by the Building Management

Division itselfj

- 5 0 ^ of the cost of the office of the Chief of the Division.

No figure was included for rental proper (interest or capital) nor for

depreciation (as distinct from current maintenance) of permanent equipment.

1D9 After deduction of some costs which do not relate directly to the accommodation

of the secretariat of the United Nations or of the Agencies such as the cost of the

maintenance of the Assembly block and of the gardens, and also of the cost of the

maintenance of the "non-working space" used by the United Nations alone, the remainder

of the cost (approximately $340 500) is ahared by occupiers in the ratio of 'Hjorking space" occupied by

!

them0

follows. The

the basis of the


11. For convenience the resulting charge is expressed as a charge per annum per m

of "working space" occupied. The original charge applied in 1949 and 195〇 was

$20.90 per annum. To take account of the statutory growth of salaries through

incrementsд etc,

y this original charge has been increased to $21.10 for 1951 and

$21#30 for 1952. This rate of $21,30 was continued for 1953 and 1954 pending the

result of a new costing 池ich was to be made on the basis of 1953 experiencef

12. Since the whole question of the reimbursement rates was on the agenda of the

Tenth Session of the United Nations General Assembly^ this rate of 雄21,30 磁s further

applied in 1955. The rates revised in accordance with the decisions of the General

Assembly have not yet been presented to WH0# The estimates for 1957^ as shown in

Official Records No. 66, have thus been based on the 1952/1955 rates with an increase

of approximately 5% to take account of annual increments^ etcf

EB17/AF/3 Rev.l APPENDIX 26

22 94^

121 111

AmiNISTRATION AND FINANCE o——an———•»—>• 1ШЧШШЛШ I.n •• • яшят^тштштт

Office of the Assistant Director-General Internal Audit Administrative Management and Personnel

Administrative Management Personnel Conference and Office Services

Budget and Finance Budget Finance and Accounts

Sub-total 95 382

Statutory Staff Costs 20 267

TOTAL - ADMINISTRATION AND FINANCE 115 649

96 482

18 701

115 I83

53 53 32

COMMON SERVICES AT HEADQUAROERS 5 斗 ^90 53 '>9'

Add: Staff Turnover 2 421

Less: Lapses in effecting replacements 1 5б0

NET TOTAL - ADMINISTRATIVE COSTS 7б7 242 327

55 598

2 564

_ l _ 5 5 2

253

BREAKDOWN BY ORGANIZATIONAL UNITS OF ADMINISTRATIVE COSTS AND OPERATIONAL SERVICES COSTS UNDER THE TECHNICAL

ASSISTANCE PROGRAMME FOR THS YEARS 1955, 1956 AND 1957

No. of Posts

1955 1956 1957 “

1. ADMINISTRATIVE COSTS

OFEDCES OP THE DIRECTOR-GENERAL

Office of the Director-General 6 6 6 External Relations and Technical

Assistance 5 5 5 Public Information

11 11 Sub-total

Statutory Staff Costs

TOTAL 一 OFFICES 0? THE DIRECTOR-GENERAL

1955 1956 1957 $ $ $

2 5)2 k 320 4 520

50 482 125 631

21 072 23 415 2b IO8

54 086 60 856 62 059

10 5斗2 Il 935 12 8 W

64 628 72 789 74 903

800 049

253

827

2 19

8 23 2

U 153

271,980

93 168

о 9

о 1

8 б

2 16

2 278 19 241

9 7 7

5 7 2

9 38

7 2 2

2

58 7

8 о

2

6 6 8

7 21 2

12 933 13 533 28 810 J O 367

700

2б1 329

261 329

308 375

1 姆 1 Зб5

289 75б 301 549

103 ООО 108 ООО

103 ООО 108 ООО

446 151 46? 108

Africa Americas South-East Asia Europe Eastern Mediterranean Western Pacific

Total

Adds Staff Turnover Less: Lapses in effecting replacements

and delays in filling new posts

NET TOTAL - REGIONAL OFFICES

REGION UNDESIGNATED

Public Health Administration Public Health Officers

NET TOTAL - REGION UNDESIGNATED

TOTAL - OPERATIONAL SERVICES COSTS

EB17/AF/3 Pev.l Appendix 2.5 page 7

No. of Posts 1955 1956 1957

2 OPERATIONALSERVICES COSTS


Office of the Assistant Director-General Communicable Diseases Services

Endemo-Epidemic Diseases Veterinary Public Health

Organization of Public Health Services Nursing Social and Occupational Health

Reports and Analysis Supply

12_ 12 12 Sub-total 40 732 41 m 43 77斗

Statutory Staff Costs 6 12 594 9 254

47 046 5杠 040 53 028

Add: Staff Turnover 642 828 Less: Lapses in effecting replacements

and delays in filling new posts 1 287 297

12 '2 ‘ 2 NET TOTAL - ADVISORY SERVICES $EADQIRRTERS)47 046 55 595 53 559

REGIONAL OFFICES1

24 000 66 500 50 521 22 400 斗 4 6 0 8

и. 9

2 9

о 81

4 б 4 8 66Í

4 о

б 5

о 9

7 4 14 0 2

3 7 5 2 5

6

JI 705 70 840 48 81? 24 590 47 6)3 59 398

300 772

2 142

288 979

2 142

3 3-8

1 2

3 38

1 2

3 13 28

7

7

76

12 12

78 81 81

78 81 Зг

10

10

10

10

90 юз 103

1957 $

о о

о

о о

о

0 8

8

1 5

3

9 8 о

7

б 1

о 8

6 1

1

2¡

2 11

1 20

1956

$

008

б б

3 3 2 595

10 79斗 1 100

19 757

1955 $

9 3

56

56

2 2

521 470 687 8)2

2 10

3 18

1 Including provision of Duty Travel for Regional Advisers

EB17/AF/3 Rev,l APPENDIX 26 ‘

US$ equivalent

1 003 92tí

US。 equivalent

2 018 836 2 602 834

100 ООО 170 ООО 379 211 379 211 990 ООО 1 ü65 ООО 100 ООО 175 ООО 205 ООО 275 ООО 380 ООО 3 636 ООО 150 ООО 150 ООО 555 ООО 555 ООО 800 ООО 800 ООО 242 911 70 ООО 300 ООО 300 ООО 550 ООО 550 ООО

US迻 equivalent

AFRICA

Basutoland Bechuanaland Cameroons Federation of Rhodesia

and Nyasaland French Equatorial Africa Gambia Gold Coast Kenya Liberia Mauritius Nigeria Seychelle Islands Sierra Leone Somaliland Protectorate Togoland Uganda

Total - AFRICA 4 775 759

THE AMERICAS

Argentina 100 000 Bolivia 306 211 Brazil 785 000 British West Indies 100 100 Chile 220 000 Colombia 1 219 376 Costa Rica 100 000 Cuba 150 000 Dominican Republic 407 000 Ecuador 289 193 El Salvador 250 000 Guatemala 325 000

36 574

265 667

285 ООО 341 ООО 13 468

791 720 330 120 121 084 21 ООО 578 766

4 960 554 400

453 000

ESTIMATED GOVERNMENT CONTRIBUTIONS IN LOCAL CÜRRSMCIES TOWARDS IMPLEMENTATION OF PROJECTS

Estimated Government Contributions Region and Country

1955 1956 1957

70 000 285 714

5 068 611 000 173 320

182 500

162 400 4 984

48 200 55 720

66 136 41 516

265 667

70 000 341 000

5 068 336 000 173 320 165 639 21 ООО

307 860 4 710

162 400

58 520

Austria 51b 277 Belgium 1 500 Germany- 3 000 Ice land 1 000 Ireland 4 200 Italy 113 700 Netherlands 3 000 Norway 4 ООО Spain 20 ООО Sweden 20 ООО Tunisia 1 618 973 Turkey 9S7 ООО

SOUTH-EAST ASIA

Burma Ceylon India Nepal Thailand

THE AMSHICAS (continued)

Haiti Honduras Mexico Nicaragua Panama Paraguay-Peru Uruguay Venezuela Inter-Country Programmes

Total - SOUTH-EAST ASIA 4 384 281 á 294 537 6 702 466

EUROPE

Total - THE AMERICAS 11 696 601 16 327 700 17 862 289


Region and Country Estimated Government Contributions,

1955 1956 1957

US^ equivalent USi? equivalent US涂 equivalent

550 277 121 599

599 919

168 1Й8 724

3 1

1

319 242 172 737 192 466

599 493

21 5B8

5 1

1

279 092 721 966 414 095

599 529

21 947

1 1

143 520 1 500 3 000 1 000 4 600

143 200 ’ ООО

ООО 500 ООО

33 2 2；

В16 143 93d ООО

520 500 ООО ООО 150 200 ООО 00D 500 ООО 743 ООО

143 X 3 1 6 ¡1

3 4 14 ¡0

13

3, 2i

73.1 1 013

4о6 ООО 150 ООО 182 ООО 270 ООО 5С0 ООО 291 935 217 ООО 150 ООО 300 ООО 390 143

3

1

2 3

ООО ООО ООО ООО ООО 935 ООО ООО ООО 643

541 150

3 182 2С0

1 5С0 301 217 120

315 048 2

441 ООО 150 ООО 162 ООО 335 ООО 500 ООО 281 935 75 ООО

120 ООО 315 ООО 046 786

3

1

1

Total - EUROPE 3 294 650 2 092 613 2 115 663

WESTERN PACIFIC

Brunei Cambodia China Fiji Hong Kong Japan Korea Laos Malaya North Borneo Papua and New Guinea Philippines Singapore Viet Nam Inter-Country Programmes

EASTERN MSDITEBRANEAN

CjTîrus Egypt. Ethiopia Iran Iraq Ierael Hashemite Kingdom of Jordan Lebanon Libya Pakistan. Saudi Arabia Sudan Syria

Total - WESTERN PACIFIC 7 447 182 7 511 489 5 305 812

Total - EASTERN MEDITERRÁN厕 4 152 046 3 285 8й9

Region and Country


Estimated Government Contributions

1955 1956 1957

US迻 equivalent USi? equivalent US盛 equivalent

010 000 843

439 220

1

ooc 000 000

140

160 000

99 247 094

175 522

25 35 34

3

25 45

3

000 401 916 438 555 000 ООО ООО 544 340 816

131 1 205

13 175 355

4 25 35 58

320 054 003 300 ¿3 714 45 465

3 3

1 1

235 562 709 031

обо

630

5 9

5

о

3 о

5 О

35 ООО 31 653

893 600 330 033 101 613 45 ООО

2 450 1 495 019

267 440 Ь75

167 300

616

921

030

64 85 68

63

53 591 264 401

2 450 635 555 294 210 055 208 590 200 44 445 85 300 33 236 »4 004

264 812 550 040 82 280

430 306

1

GRAND TOTAL 35 752 519 39 531 064 34 589 064

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