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WHO reform: 2010-2014

WHO reform: 2010-2014

The following chronology includes both WHO documents and formal civil society statements. For articles and blogs, please refer to the main page of our WHO reform guide. For thematic opverviews (WHO documents) you might consult the following pages of the WHO reform website: Programmes and priority setting - Governance reform - Managerial reform - WHO reform process

 

Reform process after the 67th World Health Assembly: Regional WHO Committees

Selected WHO documents (similar versions in all regions)

  • EUR/RC64/22
    Framework of engagement with non-State actors: report
    by the Secretariat to the regional committees
    - related presentation by WHO Secretariat
  • EUR/RC64/21
    Framework of engagement with non-State actors
    (same document as for WHA67)
  • Member States' comments
    following WHA67 discusions on the framework of engagement
  • WHO topic page
    WHO’s engagement with non-State actors
  • EUR/RC64/23
    Draft Proposed Programme Budget 2016–2017
    (Regional Committee Version)
  • EUR/RC64/16
    WHO reform: progress and implications for the European Region


Civil society positions and statements

  • International Baby Food Action Network (IBFAN): Comment  on WHO EURO Agenda item 5G, Framework of engagement with non-State actors: report by the Secretariat to the regional Committees    
  • People's Health Movement (PHM): Open Letter to the 67th Session of South-East Asian Regional Committee of WHO, including comments on NSA Framework, Follow-up of the Financing Dialogue, and Strategic Resource Allocation


Reform process at the 67th World Health Assembly and the 135th session of the WHO Executive Board, May 2014


WHO documents

  • A67/4
    WHO reform: Progress report on reform implementation
  • A67/5
    Improved decision-making by the governing bodies
  • A67/6
    Framework of engagement with non-State actors
  • A67/A/CONF./5Rev.1
    Draft decision resulting from a drafting group on the framework of WHO engagement with non-State actors
  • A67/7
    Follow-up to the financing dialogue
  • A67/8
    Follow-up to the financing dialogue. Independent evaluation
  • A67/10
    Financing of administrative and management costs

     

    Civil society positions and statements
      • WHO Watch preliminary comments on WHA agenda items:
        WHA 11.1 Reform implementation plan and report (PHM comment).   
        WHA 11.2 Improved decision-making by the governing bodies (PHM comment)
        WHA 11.3 Framework of engagement with non-State actors (PHM comment)
        WHA 11.4 Financing dialogue (PHM comment)
        WHA 11.5 Strategic resource allocation (PHM comment)
        WHA 11.6 Financing of administrative and management costs (PHM comment)


      Meeting documentation

       

      Reform process at the 134th session of the WHO Executive Board, 20-25 January 2014


      WHO documents

      • EB134/5
        WHO reform: reform implementation plan and report

      • EB134/6 Add.1
        WHO reform: Options for improved decision-making by the governing bodies

      • EB134/7
        Streamlining national reporting and communication with Member States
      • EB134/8
        Framework of engagement with non-State actors
        - with document "Mapping of WHO engagement with non-State actors"
      • EB134/9
        Financing Dialogue
      • EB134/39
        PWC Report: second stage evaluation on WHO refor

      Civil society positions and statements


      Informal consultation on WHO’s engagement with non-state actors, Meeting in Geneva, 17-18 October 2013


      WHO documents


      Civil society positions

       

      WHO financing dialogue
      June and November 2013


      WHO documents

       

      Reform process at the 66th World Health Assembly, 20-28 May 2013, and the 133rd session of the WHO Executive Board, 29-30 May 2013

      "WHO’s priority setting process dominated the reform discussion at the WHA – Member States endorsed the outcome of the February Member State’s meeting on programmes and priority setting while recognizing that special emphasis should be given to determinants of health. A number of reforms across the governance and managerial programmatic streams were endorsed and the Secretariat was asked to move forward including implementation. In other areas such as the financing of WHO Member States asked the Secretariat to revisit the issue at a special session of the Programme, Budget and Administration Committee (PBAC) scheduled for early December." (WHO)

      WHO documents

      • WHO reform: High-level implementation plan and report.
        Document A66/4
      • WHO reform: Financing of WHO
        Document A66/48
      • Draft Twelfth WHO General Programm of Work
        Document A66/6 with related resolutionA66/6 Add.1
      • Proposed programme budget 2014–2015
        Document A66/7 with related resolution A66/7 Add.1
      • WHO Governance report. Report by the secretariat
        Document EB133/16 
      • WHO reform, Governance: options for criteria for inclusion, exclusion or deferral of items on the provisional agenda of the Executive Board. Report by the Director-General
        Document EB133/3
      • Administration and management cost study
        Document EBPBAC18/3
      • Documents related to other elements of the WHO reform are not yet available.

       

      Civil society positions

      PHM / MMI

      IBFAN


      Meeting documentation

      Provisional summary records of WHO and EB sessions related to the WHO reform:

      Documentation of WHO governing body meetings: 66th WHA, 133nd session of WHO EB and 18th meeting of WHO PBAC


      Consultations after the
      132nd session of the WHO EB and in preparation of the 66th World Health Assembly and the 133rd session of the WHO EB


      WHO documents

      • Public web consultation on WHO’s engagement with non-State actors, 6 to 20 March 2013


      Civil society positions

      Comments on WHO’s engagement with non-State actors received during public web consultation, March 2013, include:

      WHO reform and Global Health Governance.
      Inputs from a DGH briefing on 7 May 2013


      132nd session of the WHO Executive Board, 21-29 January 2013. Agenda item 5: WHO reform; Agenda item 11: Program and budget matters


      WHO documents

      • "Following the requirements of decisions WHA65(9) and EB131(10), and the proposals for reporting made in document A65/5, the Secretariat has prepared reports covering the several topics requested by Member States, including: WHO’s hosting arrangement of health partnerships; considerations for draft policy on WHO’s engagement with nongovernmental organizations; methodologies of work of the governing bodies; scheduling of governing body meetings; shifting the financing year; streamlining national reporting; global health governance and alignment between global, regional and country offices; external evaluation; a report of the extraordinary meeting of the Programme, Budget and Administration Committee on financing; and the implementation of WHO reform. Discussion of the draft general programme of work and the Proposed programme budget 2014–2015 will take place under the relevant items."
        Document EB132/1: Annotated agenda
      • WHO reform. Report by the Secretariat
        (overview on documents published for the EB session)
        Document EB 132/5
      • Implementation of WHO reform, 2012
        High-level implementation plan
        Document EB132/INF./3
      • WHO’s arrangements for hosting health partnerships and proposals for harmonizing WHO’s work with hosted partnerships. Report by the Secretariat
        Document EB132/5 Add.1
      • Key issues for the development of a policy on engagement with nongovernmental organizations. Report by the Director-General
        Document EB132/5 Add.2
      • Streamlining of the work of the governing bodies and harmonization and alignment of the work of regional committees
        Document EB132/5 Add.3
      • Options to streamline the reporting of and communication with Member States
        Document EB132/5 Add.4
      • WHO’s role in global health governance. Report by the Director-General
        Document EB132/5 Add.5
      • Review of management, administration and decentralization in the World Health Organization, report by the Joint Inspection Unit
        Document EB132/5 Add.6 - The report of the JIU is available here.
      • Modalities for the independent evaluation of the WHO reform: stage two
        Document EB132/5 Add.7
      • Report of the Programme, Budget and Administration Committee of the Executive Board at its second extraordinary meeting, with focus on options for improving the transparency, predictability and flexibility of WHO’s financing
        Document EB132/3
      • Draft Twelfth WHO General Programm of Work
        draft for discussion by the Executive Board in January 2013
        Document EB132/26
      • Proposed programme budget 2014–2015
        Document EB132/27
        Document EB132/INF./4


      Civil society positions

      • Statement by MMI and the DGH Coalition
        on agenda item 5 (1), WHO Reform (philanthropic foundations, conflicts of interest)
      • Statement by MMI and the DGH Coalition
        on agenda item 5 (4), WHO Reform (independent evaluation)
      • Statement by MMI, PHM and the DGH Coalition
        on agenda item 11,  Programme and budget matters
      • Statement by Consumers International and IBFAN as part of the Conflict of Interest Coalition on agenda item 5 (1), WHO Reform (focus on conflicts of interest) - see also further documents on IBFAN website.
      • Oxfam letter to the Lancet, January 2013: Action to preserve WHO's core medicines-related roles — one year on (need to safeguard WHO's technical and normative foundations at global and country levels)

      Meeting documentation


      Extraordinary meeting of the Programme, Budget and Administration Committee of the Executive Board (PBAC), 6-7 December 2012, focused on improving WHO’s financing


      WHO documents

      • Proposals to improve WHO’s financing. Report by the Secretariat
        Document EBPBAC/EXO2/2
      • Draft twelfth general programme of work and proposed programme budget 2014–2015: overview of discussions by the regional committees
        Document EBPBAC/EXO2/3 
      Official documentation: http://apps.who.int/gb/pbac/e/e_extra2.html

       

      Consultations after the 65th World Health Assembly


      WHO documents

      • Draft twelfth general programme of work and proposed programme budget 2014–2015: overview of discussions by the regional committees
        Document EBPBAC/EXO2/3
        > Draft 12th GPW for regional committees pdf, 1.29MB
        > Draft proposed programme budget 2014-15 pdf, 840kb
      • WHO "non-Member State stakeholders" (!) consultation on the draft Twelfth General Programme of Work, 30 August –15 October 2012. Comments are published now.  
        who.int


      Civil society positions

      • DGH contribution to the Non-Member State stakeholders consultation on the Draft Twelfth General General Programme of Work (2014 -2019), October 2012 - pdf
      • WHO Watch Report: WHO Reform 2010-12
        People's Health Movement, WHO Watch, August 2012
        www.ghwatch.org
      • The WHO reform, controversial aspects and DGH proposals
        Remco van de Pas, 3rd People's Health Assembly, July 2012
        ppt slides as pdf


      Reform process at the 65th World Health Assembly, 21–26 May 2012
      , and the 131th session of the WHO Executive Board, 2829 May 2012


      WHO documents

      • Doc A65-55 
        World Health Assembly resolution on WHO reform
        (part of Third report of Committee A)
      • Doc A65/5
        WHO reform: Consolidated report by the Director-General
      • Doc A65/5Add. 1
        Draft Twelfth General Programme of Work and explanatory notes
      • Doc A65/5 Add.2
        WHO reform: Independent evaluation report: stage one
      • A65/5 Add.3
        WHO reform: Draft decision proposed by the Secretariat
      • Doc A65/40
        Report by the WHO secretariat: Results of meeting on programs and priority setting
      • A65/43
        WHO reform: Sixth report of the Programme, Budget and Administration Committee of the Executive Board to the Sixty-fifth World Health Assembly
      • Doc A65/INF.DOC./6
        WHO reform: High-level implementation and monitoring framework
      • Doc EB131/3
        WHO reform: Draft formal evaluation policy

      • Doc EB131/10
        WHO reform: Revised terms of reference for the Programme, Budget and Administration Committee of the Executive Board
         

      Civil society positions

      • Statement by NGO Forum for Health / World Council of Churches
        on WHO reform: Programmes and priorities, 24 May 2012 - PDF
      • Statement by Oxfam on the WHO reform
        24 May 2012 - PDF
      • Statement by IBFAN/Consumers International on „Engagement with stakeholders‟ and „Conflicts of Interest‟, 24 May 2012 - PDF
      • International Baby Food Action Network (IBFAN) and Third World Network (TWN):
        WHA 2012: WHO Reform Undermines Democratic Participation and Transparency
        Comments  - PDF
      • Core statement of the Democratising Global Health Coalition
        on the WHO Reform (DGH)
        www.bit.ly/dgh-statement
      • WHO Watch: WHO reform - key issues for WHA65
        www.ghwatch.org/who-watch/wha65/whoreform
      • Civil society WHA side event on 23 May 2012 on the WHO reform: Democratic pathways for a sustainable leadership in global health.
        www.bit.ly/65wha-whoreform-sideevent


      Meeting documentation


      Reform process following WHO EB130:
      Consultations with Member States and NGOs
      - focus on programmes and priority setting


      WHO documents

      "One of the Executive Board's decisions at its 130th session was that the reform of programmes and priority setting would be discussed in a Member State-driven process. The process will include a meeting, open to all Member States, to be held at WHO headquarters in Geneva on 27 and 28 February. In line with the Board's decision, arrangements have also been made for a web-based consultation for NGOs in official relations with WHO to present their views on programmes and priority setting."

      Meeting documents:

      Reference documents, NGO consultation (with statements reveiced):


      Civil society positions

      • NGO consultation on priority setting: Joint comment by Peoples’ Health Movement (PHM), Third World Network (TWN), International Baby Food Action Network (IBFAN-GIFA) and Medicus Mundi International Network (MMI)
        - Long version with summary of WHO documents and comment
        - Short version, comment only, easier to read 
      • NGO consultation on priority setting: Further NGO comments
        www.who.int


      WHO Executive Board, 130th session
      Geneva, 16-23 January 2011, agenda item 5


      WHO documents


      Civil society positions

      • Democratizing Global Health Coalition on WHO reform: statement on agenda item 5, WHO reform (pdf)
      • Médecins sans Frontières: statement on agenda item 5, WHO reform (MSF website)
      • PHM/WHO Watchers through Medicus Mundi International: statement on agenda item 5, WHO reform - Priority setting (pdf)
      • PHM/WHO Watchers through Medicus Mundi International: statement on agenda item 5, WHO reform - Managerial reform - Financing - Evaluation (pdf)
      • Oxfam: statement on agenda item 5, WHO reform (pdf)
      • PHM/WHO Watchers: Commentary on issues being discussed at EB 130 (pdf); see also: PHM documents on WHO EB 130, January 2012, agenda item 5 (WHO watch) and daily reports from EB 130 (WHO watch)


      WHO Executive Board, Special Session on WHO Reform
      Geneva, 1-3 November 2011 (EBSS)


      WHO documents

      • Consolidated reform paper for EBSS, 15 October 2011: pdf 
      • Note for media, 4 November 2011: pdf
      • Decisions of the EBSS, 7 November 2011: pdf
      • Full EBSS documentation: WHO website

       

      Civil society positions
      • DGH on WHO reform
        read by MMI Network under agenda item 3.1 (pdf)
      • DGH on WHO interactions with NGOs
        read by MMI Network under agenda item 3.4 (pdf)
      • PHM/World Council of Churches (WCC)/DGH on WHO reform (pdf)
        read under agenda item 3.2
      • Health Action International (HAI) on WHO reform
        read under agenda item 3.4 (source: e-drug)
      • PHM/WCC/DGH on agenda item 3.3, Governance (pdf)
      • PHM/WCC/DGH on agenda item 3.4, Managerial Reforms (pdf)
      • PHM and DGH comment on the decisions of the Special Session of the Executive Board of the WHO in November 2011. December 2001 (pdf)


      May 2011: Mandate for the reform

      • World Health Assembly resolution - WHO reform for a healthy future
        20 May 2011 - WHA A64.2


      The beginning of the reform process: "Future of financing for WHO" (2010 to 2011)


      WHO documents

      In January 2010, the Director-General of WHO, Dr Margaret Chan convened an informal consultation on the future of financing for WHO. While the starting point for the meeting was a discussion about the financing of WHO, participants raised more fundamental questions about the role of WHO and the nature of its core business in the rapidly changing environment of global health. During the consultation the Director-General undertook to report to the Executive Board the views of Member States on the issues raised. Following a web-based consultation with Member States and discussion at the Regional Committees, a summary of the consultation and a report was presented to the January 2011 Executive Board (EB128).

      • The future of financing for WHO: report of an informal consultation convened by the Director-General, January 2010 - WHO website
      • The future of financing for WHO. Summary of a consultation. Report by the Secretariat, December 2010 - EB128/INF.DOC./2
      • The future of financing for WHO
        Report by the Director-General, December 2010 - EB128/21
      WHO collection of key documents: WHO website

       

      Civil Society positions

      • DGH briefing for WHO member states, Geneva 31 October 2011
        - Analysis of “WHO Reforms for a health future: Report by the DG”  (pdf)
      • DGH briefing for WHO member states, Geneva 13 October 2011
        - Invitation and program (pdf) - DGH background document (pdf)
        - Nicoletta Dentico: WHO reform and DGH proposals (ppt as pdf)
        - Judith Richter: WHO reform and public interest safeguards (ppt as pdf)
        - Remco van de Pas: The financing of the WHO (ppt as pdf)
        - Sangeeta Shashikant: WHO’s and public interest constituency (ppt as pdf)
      • DGH letters to Geneva Permanent missions of WHO member states
        30 June 2011 (pdf) and 13 September 2011 (pdf)

      • DGH statements to WHO Regional Committee meetings
        MMI/DGH statement to the 61st session of the WHO Regional Committee for Europe: written, 26 August 2011 (pdf) and oral, 14 September 2011 (pdf); DGH letter to the Sixty-third Session of the WHO Regional Committee for the Americas, 22 September 2011 (pdf)

       

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