Information Session to the Permanent Ambassadors of the Organization of American States OAS

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Information Session to thePermanent Ambassadors
of the Organization of American States (OAS) and
other Ambassadors of PAHO Member States
49th PAHO Directing Council 61st Session of the
WHO Regional Committee Washington, D.C. 28
September - 2 October, 2009
Mirta Roses Periago Director
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PAHO Executive Committee
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WHO Executive Board
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PAHO 49th Directing Council
Agenda

• Matters related to
• Procedures
• Constitution
• Program policy
• Administration and finance
• General information

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PAHO 49th Directing Council
Authorities proposed

• PAHO 49th Directing Council
• President PARAGUAY
• Vice President NICARAGUA
• Vice President DOMINICA
• Rapporteur CANADA
• General Committee
• Canada, Cuba, Dominica, Dominican Republic,
  Nicaragua, Paraguay, United States of America
• Committee on Credentials
• Belize, Brasil, Costa Rica
• TDR (1 position) Ecuador, Guatemala, Peru
• HRP (2 positions) Guatemala, Paraguay
• BIREME (5 positions)

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Highlighted Events
PAHO 49th Directing Council
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Highlighted Events
PAHO 49th Directing Council
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PAHO Awards 2009

• PAHO Award for Administration
• Dr. Merceline Dahl-Regis, Bahamas
• The Horwitz Award (lifetime leadership public
  health)
• Dr. Eduardo A Pretell Zárate, Peru
• The Moore Award (voluntary service)
• Redlactrans (Red de America Latina y el Caribe
  de Personas Transgénero) Argentina
• The Acha Award (veterinary health thesis)
• Ilane Hernández Morales, Mexico
• The Soper Award (journal article)
• Dr. Guilherme Luiz Guimaraes Borges, Mexico

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Proposed PAHO Program Budget 2010-2011

• Three segments
• PAHO/WHO base programs
• Epidemics, crises, and response
• Government-financed internal projects
• US 644 million in PAHO regular budget and other
  sources
• Three regular budget scenarios and an increase of
  3.5 in the contributions

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Reduction in Regular Budget Fixed-Term Postsover
the past 3 decades
1,222
1,038
757
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PAHO and WHO (AMRO share) Regular Budget in
Current Dollars. Biennia 1970-1971 / 2008-2009
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PAHO/WHO Program Budget Regular Budget (RB) and
Other Sources (OS). Biennia 1988-1989 / 2008-2009
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Total PAHO/WHO Expenditure (19922007) vs. Total
Workforce Expenditure
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PAHO/WHO Workforce Efficiency Rate1992-1993 /
2006-2007
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Productivity of Total PAHO/WHO Expenditure in
Constant Dollars Per Full-Time Equivalent
1990-1991 / 2006-2007
Value added per FTE in dollars at constant 2000
prices.
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New Quota Scale

• OAS with new quota scale for 2009-2011
• PAHO Resolution CE140.R5 , June 2007. New OAS
  Scale adopted and applied for 2010-2011

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Plan of Action for Implementing the GENDER
EQUALITY POLICY








Evidence

building







Gender Equality Policy Goal

Achievement of gender equality in health
status and
Institutionalization,
health development


monitoring and

Core objective



Capacity building
evaluation
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Optimal
health status and well
being for men


women



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Equity in resource

allocation
for health

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Equal participation empowerment of men
women in terms of their health


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Fairness in the distribution of the burden and
rewards

associated with health work between men women






Participation
of civil

society

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Plan of Action on ADOLESCENT and YOUTH HEALTH
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HIV PREVALENCE in the population aged 15-49 and
15-24 by major Regions of the World 2007 ()
Source UNAIDS/ WHO. 2008 Report on the global
AIDS epidemic.
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Plan of Action on the HEALTH OF OLDER PERSONS
including Active and Healthy Aging
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Regional Strategy and Plan of Action on MENTAL
HEALTH
PURPOSE Strengthen the response of the health
sector through implementation of mental health
promotion, prevention, treatment, and
rehabilitation interventions
PROBLEM High prevalence and burden of mental and
substance use disorders (morbidity, disability,
and mortality) WEAK POINTS Treatment
gap Funding gap Information gap Stigma Poverty,
inequities, and social exclusion

• STRONG POINTS
• Political will
• Global and Regional Program Support
• WHO Global Mental Health Plan
• Regional Strategic Plan (PAHO)
• Health Agenda for the Americas
• 3. Renewal of Primary Health Care
• 4. Scientific progress around the world
• 5. National social policy
• 6. Experiences in the region over the past
  decade
• 7. Cooperation among countries

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Plan of Action for the PREVENTION of AVOIDABLE
BLINDNESS and VISUAL IMPAIRMENT
Cataracts Leading Cause of Blindness
5,000 blind people and 20,000 people with severe
visual impairment per million inhabitants
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Policy Framework for HUMAN ORGAN DONATION AND
TRANSPLANTATION

• In the 1990s 20,800 kidney transplants were
  performed in Latin America, a figure that
  represented 8.9 of the world total.
• In 2007 over 8,200 kidney transplants were
  performed, a figure that represents more
  than 12.5 of the total of transplants
  performed worldwide.
• In 2006 44,120 patients in 9 Latin
  American countries were on waiting lists
  to receive a kidney transplant in Canada the
  figure was 4,195, and in the United States
  76,313.
• The countries with the most successful organ
  donation programs have demonstrated the
  advantages of having strong national
  organizations that can promote, coordinate,
  and regulate organ donation and transplantation.

• Promote equitable access to transplant services
  
• Improve the safety and efficacy of organ donation
  and transplantation
• Fight organ trafficking and transplant tourism

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Elimination of NEGLECTED DISEASES

• Neglected diseases help perpetuate the cycle of
  poverty
• Eliminating them is an ethical imperative and
  part of the unfinished agenda
• Eliminating them by 2015 is technically feasible
• Political commitment is urged to make the dream a
  reality
• A Latin America and Caribbean free of these
  diseases
• Adoption of Resolution CE144/10

• 12 priority diseases
• Group 1, objective eliminate as a public health
  problem (10)
• Group 2, objective drastic reduction in the
  burden of disease (2)
• Other diseases merit greater investigation and
  scientific advances

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INTEGRATED HEALTH SERVICES DELIVERY Networks
Consultations in the Region
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Panel discussion on the Pan-American ALLIANCE
for NUTRITION and DEVELOPMENT

• Date Tuesday, 29 September 2009
• . Opening remarks Sara Ferrer, UNDP-Spain MDG
  achievement Fund
• . Guest speaker Dr. Oscar Ugarte, Minister of
  Health of Peru
• . Other presenters
• Dr. Mirta Roses (PAHO)
• Dr. Pedro Medrano (Regional Director of the World
  Food Program)
• Dr. Ricardo Uauy (President of the International
  Union of Nutrition Sciences)
• . Commentators
• Carmen Maria Gallardo (Vice president ECOSOC)
• Betty McCollum (U.S. Congress)
• Joy Phumaphi (World Bank)
• David Oods (Save the Children)

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Roundtable on SAFE HOSPITALS

• Date Wednesday, 30 September 2009. Guest
  Speaker Dr. Claude de Ville . Participants
  . Ministers of Health, . UN agencies, .
  Cooperation Agencies . OBJECTIVE To
  assess the socioeconomic impact of disasters on
  health To share lessons learned in the
  execution of the safe hospitals initiative
  and, To strengthen coordination and
  cooperation among the health sector, disaster
  reduction agencies, and other sectors to
  achieve safe hospitals by 2015.

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Administrative and Financial Matters
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Quotas received to 10 September 2000-2009
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Pending Arrears as of 10 September 2000-2009
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Proposed Major Changes in Financial Regulations
of PAHO

• International Public Sector Accounting Standards
  (IPSAS) replace the United Nations System
  Accounting Standard (UNSAS)
• new terminology and introduction of best
  practices
• Audited Annual Financial Statements with a
  Biennial Program Budget
• new financial statement requirements
• Movement from modified accrual and cash basis
  accounting to full accrual accounting
• impact on surplus and internal borrowing
• Capitalization of property, plant , and equipment
  with expensing of depreciation
• valuation of assets and budgetary impact

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Proposal for the Establishment of an AUDIT
COMMITTEE Purpose Establish a governance
framework that reflects international best
practices

• Role of the Committee
• Review and monitor the risk assessment and
  management processes used in the Organization,
  the system of internal and external controls, and
  the timely and effective implementation by
  management of audit recommendations
• Advise on issues related to the system of
  internal and external controls, their strategies,
  work plans, and performance
• Continued

The Audit Committee does not replace the
functions of the Executive Committee of PAHO or
its SPBA
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Proposal for the Establishment of an AUDIT
COMMITTEE

• Notify on any matter of PAHO policy and procedure
  requiring corrective action and on improvements
  recommended in the area of controls, including
  evaluation, audit, and risk management
• Advise on accounting policies and disclosure
  practices and assess changes and risks in those
  policies and
• Advise the Director in the selection process of
  the Auditor General of PAHO and the Executive
  Committee in the selection of the External
  Auditor.

Role of the Committee
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Progress Report on INTERNATIONAL HEALTH
REGULATIONS includes the Report on the
Pandemic (H1N1) 2009

• Date Monday, 28th September 2009
• Presenter Dr. Jarbas Barbosa
• Manager Health Surveillance, Disease
  Prevention and Control (HSD)
• Selected affected countries
• Argentina, Brazil, Canada, Chile, Costa Rica,
  Mexico, USA
• Open Discussion

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Pandemic (H1N1) 2009 Number of Laboratory
Confirmed Cases and Number of Deaths Reported to
PAHO/WHO as of 6 September 2009
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Progress Report on Technical Matters

• What do the IHR require?
• Strengthening of national surveillance and
  control capacity, including that related to
  travelers and transportation Evaluation /
  Action Plan, Deadline 15 June 2009
• Prevention, alert, and response to international
  public health emergencies Influenza A (H1N1)
• Global partnerships and international
  collaboration
• Rights, responsibilities, and procedures and
  monitoring of progress

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PAHOs Response

• Monitoring the regional situation and advising
  countries on surveillance, laboratory, and
  infection control measures necessary for
  identifying and treating cases and following
  contacts
• Distributed diagnostic kits to National Influenza
  Centers through its Collaborating Centers
• Dispatched experts in epidemiology, virology,
  laboratory testing, infection control, emergency
  response , logistics and risk communication to
  several countries in the Region
• Updated treatment guidelines
• Sent oseltamivir (Tamiflu) to countries in the
  Region
• Holds weekly teleconferences with ministries of
  Health or directors of Epidemiology of all the
  countries of the Americas

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Thank you