WHO Core voluntary contribution 2018-2019 - WHO Core voluntary contribution 2018-2019 (New strategy 2018-2022) WHO Frivilligt bidrag 2018-2019 Världshälsoorganisationen (hädanefter WHO) har ansökt om ett frivilligt bidrag till deras tvååriga programbudget 2018-2019 (hädanefter PB2018-2019) för genomförandet av samtliga förväntade resultat i WHO:s generella arbetsprogram (Eng. General Programme of Work, GPW) 2014–2019 samt första året av GPW2019-2023.
PB 2018-2019 definierar arbetsprioriteringar för följande kategorier och program: smittsamma sjukdomar, icke-smittsamma sjukdomar, främjande av hälsa genom livscykel, hälsosystem, WHO Health Emergencies-program, interna tjänster och polioutrotning.

Föreslaget totalt belopp för PB 2018-2019 är 320 MSEK, dvs samma belopp som tidigare period 2016-17 men en minskning på ca 6% (20 MSEK) i relation till 2014-2015. Den totala budgeten för WHO 2018-2019 är 4 421,5 MUSD (ca 36,4 miljarder SEK) vilket innebär en ökning på 1% jämfört med 2016-2017. Sidas frivilliga stöd till WHO utgör ca 38,9 MUSD vilket motsvarar ca 0.8 % av WHO's totala budget. Den totala andelen frivilliga icke-öronmärkta bidrag till WHO uppgår till endast 3% av WHO's totala budget.

Sidas dialogplan under den planerade stödperioden fokuserar i huvudsak på följande frågor:

- framsteg i strävan att uppnå målet om allmän tillgång till hälso-och sjuvård inom WHO's samtliga programområden.

-framsteg i arbetet med att säkra integrering av SRHR i strävan att uppnå målet om allmän tillgång till hälso-och sjuvård (Eng. SRHR/UHC). Ett nära samarbete med Sidas FORSK-enhet är nödvändig givet FORSK's stöd till WHO/Human Reproduction Program(HRP) som spelar en nyckelroll i WHO's insatser för att säkra integreringen av SRHR i UHC.

-uppföljning av arbetet med genomförandet av WHO-reformen (den så kallade Transformationsagendan) med ett särskilt fokus på stärkandet av landkontoren inklusive frågor kring intern management, ledarskap, bemanning, kompetens, budgetallokeringar, resursmobilisering. Sida kommer att särskilt följa upp resultat och genomförandet av rekommendationer från organisationsöversynerna av landkontoren i Afrikaregionen som ett led i arbetet med att genomföra den organisationsförändring som behövs för att WHO skall kunna stå rustad för att leverera resultat på landnivå.

- följa upp genomförandet av WHO's stärkta landfokus genom Sveriges ambassader där Sida har bilateralt hälsostöd men även genom det regionala SRHR-teamet i Lusaka för deras bedömning av genomförandet av det regionala WHO/UNFPA/UNAIDS/UNICEF programmet i Afrika Söder om Sahara. Sida skall även genomföra fältresor under år 2019 som syftar till att utvärdera WHO's insatser för ett stärkt landfokus.

-följa upp WHO's arbete med att integrera SDG3 med andra hälsorelaterade SDG-mål som en förutsättning för ett framgångsrikt genomförande av SDG3-målet. Sida bör specifikt följa upp WHO's insatser för att koppla SDG3 med SDG6 (WASH) och i synnerhet följa initiativ ämnade att främja WASH i vårdanrättningar. WHO has applied for a voluntary contribution to their Programme Budget 2018-209 (PB2018-2019) for the implementation of all results which make an integral part of WHOs GPW 2014-2019 as well as the first year of the coming GPW (GPW2019-2013). The proposed intervention is a contiuation of previous support to WHO's PB 2016-2017.
PB2018-2019 defines working priorities for the following categories and programmes:

communicable diseases, noncommunicable diseases, promoting health through the life course, health systems, WHO Health Emergencies programme, corporate services/enabling functions and polio eradication.

The proposed support for the PB 2018-2019 is 320 MSEK, same amount has the previous period 2016-17 but a reduction of approximately 6% (20MSEK) in relation to 2014-2015. The total budget for the PB 2018-2019 is 4421.5 MUSD (approximately 36,4 billion SEK), an increase of 1% in relation to 2016-2017. Sida’s core voluntary support to WHO constitutes approximately 38,9 MUSD, which corresponds to approximately 0.8% of the total budget. The total share of fully flexible non-earmarked contributions to WHO represents only 3% of WHO's total budget.

The dialogue-plan for the supporting-period has the following main features:
- Progress on the strive towards Universal Health Coverage in all categories of WHO's programme budget.
-Dialogue on WHO's progress towards ensuring the integration of SRHR into the UHC-agenda. Close collaboration with Sida's research unit is necessary given their support to WHO/Human reproduction programme(HRP) which has a key role to play in WHO's efforts to ensure integration of SRHR into UHC.
-Follow-up progress on implementing the WHO-reform (the so-called Transformation agenda) with a particular attention to the strengthening of the country offices including issues of internal management, leadership, staffing, competence, budget allocation, resource mobilisation. Sida shall particularly follow-up on the result and further implementation of recommendations from the Functional reviews for Africa, here the purpose for Sida from a more general perspective is to follow WHO’s efforts to implement the organisational change that is needed at a country level for WHO to become “fit for purpose” for delivering results at a country level.
- Follow up on the implementation of WHO's increased country focus through Swedish embassies with bilateral health support as well as with Regional SRHR-team in Lusaka for their assessment of the implementation of WHO/UNFPA's regional programme in Africa. Sida shall also undertake field-visits during year 2019 to take stock of WHO's efforts to strengthen its country-level programmes.
-Dialogue on WHO's efforts to integrate SDG3 with other health-related SDGs for a successful implementation of SDG3. In particular, Sida shall follow-up on WHO's efforts to connect SDG3 and SDG6 and especially on efforts aimed at improving WASH in health care facilities. WHO's GPW13, the implementation of which has already been initiated this year (2018) has the over-arching goal of:
Ensuring health lives and promoting well-being for all at all ages
The foundation of GPW13 is therefore SDG3.
GPW13 summarizes WHO's mission which is to (without internal ranking ):
1. Promote health
2. Keep the world safe
3. Serve the vulnerable
GPW13 us hence structured around three interconnected strategic priorities to ensure healty lives and well-being for all at all ages; advancing universal health coverage, addressing health emergencies and promoting healthier populations. These strategic priorities are supported by three strategic shifts: stepping up leadership; driving impact in every country; and focusing global public goods on impact -which reflect WHO's six core functions (for more details see p6 GPW13).
More specifically, in response to the challenge to "leave no-one behind, GPW13 sets ambitious goals of 1 billion people for earch of its strategic priorities i.e. 1 billion more people enjoying better health and well-being; 1 billion more people better protected  from health emergencies; 1 billion more people benefitting from universal health coverage. In line with the SDG-agenda all 1-billion-targets are to be achieved in year 2030.
Although the three strategic priorities are presented separately, they are not mutually exclusive and thus require implementation that is mutually reinforcing. For instance, strengthening health systems also makes them more resilient and better able to detect and control outbreaks before they spread and improved public health funtions contribute to good-quality health care within UHC and the strong surveillance systems necessary for early disease detection and control.
The foundation of WHO’s work is SDG 3: ensuring healthy lives and promoting well-being for all at all ages. WHO is an organization focused principally on promoting health rather than merely fighting disease, and especially on improving health among vulnerable populations and reducing inequalities. The new GPW marks the shift of a stronger focus on the promotion of well-being rather than fighting disease.
During the agreement period (ie 2018-2019) Sida will follow a selection of indicators linked to the PB2018-2019 in addition to some selected indicators linked to GPW13. The reason for somewhat "prematurely" bringing in indicators for GPW13 is that WHO has already in year 2018 started using indicators linked to GPW13. Therefore, the assessment at hand will take into consideration both indicators from PB2018-19 as well as those from GPW13.