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View Diary: Power of Community: Fukushima Rov #54 (225 comments)

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  •  The funding of the World Health Organization (9+ / 0-)

    The "extrabudgetary budget" has always presented a concern and it is portion of the budet that has been increasing significantly.  

    The WHO is financed through 2 main streams. First, member states pledge a specified proportion of total assessed contributions calculated according to each country’s wealth and population. The WHA [World Health Assembly - representing all WHO member states) then unanimously approves a core budget. The second stream is through voluntary contributions often earmarked for specific diseases, sectors, or countries The development assistance committee of the Organisation for Economic Co-operation and Development calls extrabudgetary funding “multi-bi” aid (ie, donors routing noncore funding allocated for specific purposes through multilateral agencies).6

    The WHO’s biennial budget more than doubled from US $1.6 billion in 1998-1999 to US $4.2 billion in 2008-2009, but the agency has a dire budget deficit of US $300 million this year. More importantly, its extrabudgetary budget increased  from 48.8% to 77.3% during that period.7 It is not sustainable to have voluntary funding represent nearly 80% of the agency’s budget.

    Moreover, extrabudgetary funding skews global health priorities. Assessed contributions are more aligned with the actual global burden of disease than extrabudgetary funding.  For example, in 2008-2009, the WHO’s extrabudgetary funding was primarily for infectious diseases (60%) and had negligible allocations for noncommunicable diseases (3.9%) and injuries (3.4%).7 Yet noncommunicable diseases account for 62% of all deaths worldwide,8 and injuries account for 17% of the global burden of disease.9

    Reforming the World Health Organization, JAMA March 29, 2011,
    Devi Sridhar, University of Oxford
    Lawrence O. Gostin, Georgetown University Law Center,

    This gives you an idea of where the voluntary money comes from:

    Voluntary contributions by fund and by donorfor the financial period 2008–2009

    We'd rather dream the American Dream than fight to live it or to give it to our kids. What a shame. What an awful, awful shame.

    by Into The Woods on Tue May 03, 2011 at 01:41:09 PM PDT

    [ Parent ]

    •  ON WHO (8+ / 0-)

      I am well aware of WHOs compromised integrity. HOWEVER, these reports they are conducting on the ground in Japan do not brush over the shortcomings of the reaction. Rather, they point out what is working, what isn't, why what is working is, why not.

      I wouldn't say they paint a rosey picture of the response. And they are very careful to attribute sources.

      My point here is to point out the fact that we have an organization with field experts with this degree of expereince pointing out the value of community in dealing most effectively coping with a 3-pronged disaster .... WHO is providing an invaluable document for us to use as a boilerplate in disaster response.

      Now, I am no expert on disaster rsponse. Or what already exists. I do know, as the founder of a transition town, the focus on local local local ....

      I would suggest reading their reports and look forward to your thoughts afterwards.


      •  I've watched WHO closely in other environments (7+ / 0-)

        and usually been impressed with how they've operated, especially on the field level.

        Their weakness in this kind of environment is more the lack of unrestricted (or undesignated) funds to mount this kind of operation and the related need to wrangle their poltical soveriegn sponsors.  The risks of the potential bias created in other areas (or bias of focus) created by some of their voluntary nonbudgetary contributions and the reliance on those funds mainly shows up in other areas.

        I'd have to go back and look but I don't think IAEA was a huge sponsor. Didn't look for other nuclear power industry sources.    

        Their sitrep reports seem very good.  

        We'd rather dream the American Dream than fight to live it or to give it to our kids. What a shame. What an awful, awful shame.

        by Into The Woods on Tue May 03, 2011 at 04:14:43 PM PDT

        [ Parent ]

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