MID TERM

RESULTS REPORT

Programme budget 2022–2023

Dr Tedros Adhanom Ghebreyesus Director-General's foreword

Executive Overview

 

Setting the scene and progress towards the 3 billion targets and SDGs.

 

WHO is marking its 75th anniversary this year, with its 194 Member States and partners, by calling for a renewed drive for health equity. The past seven and a half decades have seen extraordinary progress in protecting people from diseases, health risks and harms. However, as this report shows, further progress is needed to achieve the triple billion targets towards attaining the health-related Sustainable Development Goals and meeting other health challenges, such as mental health, antimicrobial resistance and climate change. 

 

 

  • Improved access to quality essential health services irrespective of gender, age or disability status
  • Countries enabled to provide high-quality, people-centred health services, based on primary health care strategies and comprehensive essential service packages
[OUTCOME]

Reduced number of people suffering financial hardship

Photo: WHO / Kiana Hayeri Women and children wait outside of the paediatric section of Mirbachakot Hospital on 24 November 2022.

Universal health coverage progress hindered by financial hardship, with COVID-19 revealing the need for flexible and accountable health financing.

 

Every year, about 800 million people suffer severe economic hardship as a consequence of payments made at the point of use in care; of these, an estimated 100 million are pushed into extreme poverty. The Global Monitoring Report on Universal Health Coverage noted that while service coverage has improved since 2000, protection against financial hardship has not.

 

The impact of the COVID-19 pandemic on the macroeconomic and fiscal contexts of countries has reinforced core universal health coverage messages in revealing that flexible and accountable health financing (particularly budgetary) arrangements and the reduction of financial barriers to essential services are important parts of preparedness and response, as well as being critical for universal health coverage. However, the macroeconomic and fiscal shocks arising from the COVID-19 pandemic pose a challenge to progress because income growth was a key driver of the gains in service coverage, while increasing poverty implies that even small expenditures for health services can cause financial hardship.

PROGRAMME BUDGET FUNDING AND UTILIZATION

WHO’s biennial Programme budget is based on the principles of transparency, accountability and providing value for money

 

    Approved revised programme budget
    US$ 6726.00 million
    Available funds
    US$ 8336.00 million
    Utilization
    US$ 3812.00 million

 

 

The Seventy-fifth World Health Assembly adopted resolution WHA75.5 in May 2022, revising the approved base programmes segment of the Programme budget 2022-2023 to a total of US$ 6.726 billion. By the end of the first year, the total Programme budget has a good level of financing (US$ 8.3 billion), including projections, which exceeded the total approved. The good level of financing is explained by two event-driven budget segments: emergency operations and appeals, and polio eradication, the financing for which has needed to exceed the amounts established in the Programme budget in order to keep step with operational needs.