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49th PAHO Directing Council: Information and Sessions with Permanent Ambassadors of OAS and PAHO Member States

This document provides information and highlights the events of the 49th PAHO Directing Council, including sessions with Permanent Ambassadors of OAS and PAHO Member States. It also covers various topics such as proposed program budget, gender equality policy, adolescent and youth health, mental health, and more.

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49th PAHO Directing Council: Information and Sessions with Permanent Ambassadors of OAS and PAHO Member States

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  1. 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 CommitteeWashington, D.C. [ 28 September - 2 October, 2009 ] Mirta Roses Periago Director

  2. PAHO Executive Committee

  3. WHO Executive Board

  4. PAHO 49th Directing Council Matters related to: Procedures Constitution Program policy Administration and finance General information Agenda

  5. 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)

  6. PAHO 49th Directing Council Highlighted Events

  7. PAHO 49th Directing Council Highlighted Events

  8. 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

  9. 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

  10. Reduction in Regular Budget Fixed-Term Postsover the past 3 decades 1,222 1,038 757

  11. PAHO and WHO (AMRO share) Regular Budget in Current Dollars. Biennia 1970-1971 / 2008-2009

  12. PAHO/WHO Program Budget Regular Budget (RB) and Other Sources (OS). Biennia 1988-1989 / 2008-2009

  13. Total PAHO/WHO Expenditure (1992–2007) vs. Total Workforce Expenditure

  14. PAHO/WHO Workforce Efficiency Rate1992-1993 / 2006-2007

  15. 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.

  16. 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

  17. 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 - Optimal health status and well being for men & women - Equity in resource allocation for health - Equal participation & empowerment of men & women in terms of their health - Fairness in the distribution of the burden and rewards associated with health work between men & women Participation of civil society

  18. Plan of Action on ADOLESCENT and YOUTH HEALTH

  19. 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.

  20. Plan of Action on the HEALTH OF OLDER PERSONS including Active and Healthy Aging

  21. Regional Strategy and Plan of Action on MENTAL HEALTH Capacityto produce information / evaluation Policies,plans, legislation / resources Strengthening ofhuman resources Promotion of mental health andprevention of psychological disorders Delivery of services Care and rehabilitation for priority conditions/ PHC PURPOSE Strengthen the response of the health sector through implementation of mental health promotion, prevention, treatment, and rehabilitation interventions PROBLEM High prevalence and burden ofmental 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

  22. Diabetic Retinopathy and Glaucoma Low Vision 80% OF BLINDNESS IS PREVENTABLE Blindness and Visual Impairment in Children Plan of Action for thePREVENTION of AVOIDABLE BLINDNESS and VISUAL IMPAIRMENT Cataracts: Leading Cause of Blindness 5,000 blind people and 20,000people with severe visual impairment per million inhabitants

  23. 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

  24. 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 Elimination of NEGLECTED DISEASES

  25. INTEGRATED HEALTH SERVICES DELIVERY NetworksConsultations in the Region

  26. 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)

  27. 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.

  28. Administrative and Financial Matters

  29. Quotas received to 10 September 2000-2009

  30. Pending Arrears as of 10 September 2000-2009

  31. 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

  32. 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

  33. Proposal for the Establishment of an AUDIT COMMITTEE Role of the 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.

  34. 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

  35. Pandemic (H1N1) 2009 Number of Laboratory Confirmed Cases and Number of DeathsReported to PAHO/WHO as of 6 September 2009

  36. 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 responseto international public health emergencies [ Influenza A (H1N1) ] • Global partnershipsand international collaboration • Rights, responsibilities, and procedures and monitoring of progress

  37. PAHO’s 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

  38. Thank you

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