Saatja: <
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Saadetud: 04.12.2023 10:34
Teema: WHO: C.L.44.2023 (EB154)
Dear Member States of the World Health Organization,Please find attached,
in the six official languages, C.L.44.2023 regarding the 154th session of
the Executive Board, which will be convened on Monday, 22 January 2024,
commencing at 09:30 (CET) at WHO headquarters, Geneva.Best
regards,Department of Governing BodiesWorld Health Organization
20, AVENUE APPIA – CH-1211 GENEVA 27 – SWITZERLAND – TEL CENTRAL +41 22 791 2111 – FAX CENTRAL +41 22 791 3111 – WWW.WHO.INT
Ref.: C.L.44.2023
The Director-General of the World Health Organization (WHO) has the honour to
communicate to Members of the Organization, in accordance with Rules 5 and 8 of the Rules
... of Procedure of the Executive Board, the provisional agenda and provisional annotated agenda
for the 154th session of the Executive Board, which will be convened on Monday,
22 January 2024,1 commencing at 09:30 (CET) at WHO headquarters, Geneva.
The Executive Board will be held in person. There is no limitation applying to the number
of persons registering as part of Member States and Associate Members’ delegations. However,
in view of the space restrictions in connection with ongoing renovations in WHO headquarters
two persons per each Member State delegation for Executive Board members and one person per
each Member State delegation for non-EB members may be present in the meeting room where
the Executive Board is convened.
Registration can be initiated as of 18 December 2023 by going to the following link:
https://indico.un.org/e/EB154. Registration should be completed by 8 January 2024.
In accordance with resolution WHA49.9 (1996), and to support the aim of achievement of
SDG 5 (Achieve gender equality and empower all women and girls), the Director-General
invites Member States to consider that gender balance be applied to their delegations.
Documents for the 154th session of the Executive Board can be accessed on the Internet
through the WHO website (https://apps.who.int/gb/gov/) as they become available and practical
... information for delegates is attached. Member States are reminded that, as agreed by the
Executive Board at its 143rd session, governing body meetings are paperless.
The Director-General of the World Health Organization takes this opportunity to renew to
Members of the Organization the assurance of his highest consideration.
GENEVA, 27 November 2023
1
See Executive Board decision EB153(9), 31 May 2023.
... ENCLS.: (3)
REGISTRATION
Online registration is required to participate in the Executive Board which will be held in person.
Registration can be initiated as of 18 December 2023 by going to the following link:
https://indico.un.org/e/EB154 and should be completed by 8 January 2024.
Before each meeting, an invitation will be sent to Member States indicating a link to access the electronic
Registration System (INDICO). Each participant is invited to register her/himself.
The WHO Department of Governing Bodies will verify the information received which will then be
submitted into the registration system to generate the meeting badges and the list of participants.
CREDENTIALS
The credentials shall be issued by the Head of State, the Head of Government, the Minister for Foreign
Affairs, the Minister of Health, or any other appropriate authority, i.e. Permanent Missions and senior
government officials, such as Directors-General for Health. A copy of the credentials will have to be uploaded
and submitted through the online registration system before the opening of the 154th session of the
Executive Board. Credentials should include the following information for each participant: LAST NAME
(in capital letters), first name, title, function, institution, city, gender (unless indicated in title).
ACCESS TO WHO HEADQUARTERS
Members of the delegations should register through INDICO in order to collect their badge and access
WHO.
In view of the space restrictions in connection with ongoing renovations at WHO, please note the
following arrangements:
₋ Up to two members of each delegation of EB Member States may be present at a time in the meeting
room.
₋ One member of each delegation of non EB Member States may be present at a time in the meeting
room.
₋ One member of each delegation of Observers, United Nations and other intergovernmental
organizations and non-State actors in official relations with WHO may participate in person.
VISAS
Attention is drawn to the strict provisions in force regarding entry into Switzerland – those not having
the required visa will be refused entry.
As of 13 December 2008, Switzerland has applied the Schengen visa regulations. Therefore, certain
nationalities travelling to WHO headquarters to participate in meetings will require a Schengen visa in order
to enter Switzerland.
EB154/ENCL./1
Since that date, it is no longer sufficient for a participant to present the invitation letter in order
to obtain a visa. A visa support letter prepared by WHO/HQ is now required.
Before requesting a visa support letter, participants are advised to contact their nearest Swiss embassy
or consulate to determine whether or not they require a visa.
Member States requiring the assistance of WHO to obtain a Swiss Schengen visa are kindly invited
to do so when they register for the meeting through INDICO.
EB154/ENCL./1
EXECUTIVE BOARD EB154/1
154th session 16 November 2023
Geneva, 22–27 January 2024
Provisional agenda
1. Opening of the session and adoption of the agenda
Documents EB154/1 and EB154/1 (annotated)
2. Report by the Director-General
Document EB154/2
3. Report of the regional committees to the Executive Board
Document EB154/3
4. Report of the Programme, Budget and Administration Committee of the Executive Board
Document EB154/4
5. Report of the Standing Committee on Health Emergency Prevention, Preparedness and
Response
Document EB154/5
Pillar 1: One billion more people benefiting from universal health coverage
6. Universal health coverage
Document EB154/6
7. Follow-up to the political declaration of the third high-level meeting of the General
Assembly on the prevention and control of non-communicable diseases
Document EB154/7
8. Draft global action plan for infection prevention and control
Documents EB154/8 and EB154/8 Add.1
9. Immunization Agenda 2030
Document EB154/9
EB154/1
10. End TB Strategy
Document EB154/10
11. Road map for neglected tropical diseases 2021–2030
Document EB154/11
12. Acceleration towards the Sustainable Development Goal targets for maternal health and
child mortality
Document EB154/12
13. Antimicrobial resistance: accelerating national and global responses
Document EB154/13
Pillar 2: One billion more people better protected from health emergencies
14. WHO’s work in health emergencies
Documents EB154/14 and EB154/15
15. Implementation of resolution WHA75.11 (2022)
Document EB154/16
16. Global Health and Peace Initiative
Document EB154/17
17. Poliomyelitis
• Poliomyelitis eradication
Document EB154/18
• Polio transition planning and polio post-certification
Document EB154/19
18. Smallpox eradication: destruction of variola virus stocks
Document EB154/20
Pillar 3: One billion more people enjoying better health and well-being
19. Social determinants of health
Document EB154/21
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EB154/1
20. Maternal, infant and young child nutrition
Document EB154/22
21. Well-being and health promotion
Document EB154/23
22. Climate change, pollution and health
• Impact of chemicals, waste and pollution on human health
Document EB154/24
• Climate change and health
Document EB154/25
23. Economics and health for all
Document EB154/26
Pillar 4: More effective and efficient WHO providing better support to countries
24. Budget and finance matters
24.1 Financing and implementation of the Programme budget 2022–2023 and outlook on
financing of the Programme budget 2024–2025
Document EB154/27
24.2 Draft fourteenth general programme of work
Documents EB154/28 and EB154/INF./1
24.3 Sustainable financing: WHO investment round
Document EB154/29
24.4 Amendments to the Financial Regulations and Financial Rules [if any]
25. Management and governance matters
25.1 Prevention of sexual exploitation, abuse and harassment
Document EB154/30
25.2 Evaluation: update and proposed workplan for 2024–2025
Document EB154/31
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EB154/1
25.3 Matters emanating from the Agile Member States Task Group on Strengthening WHO’s
Budgetary, Programmatic and Financing Governance
Documents EB154/32, EB154/33, EB154/33 Add.1, EB154/33 Add.2, EB154/33 Add.3,
EB154/34, EB154/34 Add.1 and EB154/35
25.4 Engagement with non-State actors
• Report on the implementation of the Framework of Engagement with Non-State Actors
Document EB154/36
• Non-State actors in official relations with WHO
Documents EB154/37 and EB154/37 Add.1
25.5 Nomination and appointment of Regional Directors
Document EB154/38
26. Provisional agenda of the Seventy-seventh World Health Assembly and date and place of
the 155th session of the Executive Board
Documents EB154/39 and EB154/40
27. Committees of the Executive Board
27.1 Independent Expert Oversight Advisory Committee: membership renewal
Document EB154/41
27.2 Foundation committees and selection panels
Document EB154/42
28. Staffing matters
28.1 Appointment of the Regional Director for the Eastern Mediterranean
Document EB154/43
28.2 Appointment of the Regional Director for South-East Asia
Document EB154/44
28.3 Appointment of the Regional Director for the Western Pacific
Document EB154/45
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EB154/1
28.4 Statement by the representative of the WHO staff associations
Document EB154/INF./2
28.5 Report of the Ombudsperson
Documents EB154/INF./3 and EB154/INF./4
28.6 Human resources: update
Documents EB154/46 and EB154/47
28.7 Amendments to the Staff Regulations and Staff Rules
Documents EB154/48 and EB154/48 Add.1
28.8 Report of the International Civil Service Commission
Document EB154/49
29. Report on meetings of expert committees and study groups
• Expert advisory panels and committees and their membership
Documents EB154/50 and EB154/50 Add.1
30. Closure of the session
= = =
5
EXECUTIVE BOARD EB154/1 (annotated)
154th session 27 November 2023
Geneva, 22–27 January 2024
Provisional agenda (annotated)
1. Opening of the session and adoption of the agenda
2. Report by the Director-General
3. Report of the regional committees to the Executive Board
The Board will be invited to consider the recommendations and comments of the regional committees in the reports
submitted pursuant to decision WHA65(9) (2012).
4. Report of the Programme, Budget and Administration Committee of the Executive Board
The Board will receive at the opening of its session the report of the thirty-ninth meeting of the Programme, Budget
and Administration Committee, which is scheduled to be held from 16 to 19 January 2024.
5. Report of the Standing Committee on Health Emergency Prevention, Preparedness and
Response
The Board will receive the report of the third meeting of the Standing Committee on Health Emergency Prevention,
Preparedness and Response, which was held on 13 and 14 September 2023.
Pillar 1: One billion more people benefiting from universal health coverage
6. Universal health coverage
The Director-General will submit a report that summarizes the present situation for universal health coverage and
the outcomes of the seventy-eighth session of the United Nations General Assembly, with the release of the global
monitoring report for 2023, published jointly with the World Bank, and the second High-level Meeting on
Universal Health Coverage, with the adoption of a new political declaration on universal health coverage. The
report will highlight the commitments made to achieve universal health coverage by reorienting health systems
and investments to a primary health care approach. The Board will be invited to note the report and identify ways
to implement the political declaration before the third high-level meeting scheduled to be held in 2027.
7. Follow-up to the political declaration of the third high-level meeting of the General
Assembly on the prevention and control of non-communicable diseases
In response to decisions WHA72(11) (2019) and WHA75(11) (2022), as well as to resolutions WHA66.10 (2013),
WHA74.4 (2021) and WHA74.5 (2021), the Director-General will submit a consolidated report on the progress
on the follow-up to the political declaration across several priority areas. Annexed to the report will be a baseline
report on the implementation of the Global oral health action plan 2023‒2030 and a report on the WHO’s global
cancer status report 2025, with a primary focus on childhood cancer and cervical cancer elimination. The Board
will be invited to note the report and its annexes and provide further guidance.
EB154/1 (annotated)
8. Draft global action plan for infection prevention and control
In response to a request in resolution WHA75.13 (2022) on the global strategy on infection prevention and control,
the Director-General will submit a draft global action plan to translate the WHO global strategy, adopted in
decision WHA76(11) (2023), into an action plan, including a framework for tracking progress with clear
measurable targets, for consideration by the Seventy-seventh World Health Assembly, through the Executive
Board at its present session. The Board will be invited to note the report and consider a draft decision to adopt the
action plan.
9. Immunization Agenda 2030
In decision WHA73(9) (2020) endorsing the Immunization Agenda 2030 the Health Assembly requested the
Director-General to continue to monitor progress and to report biennially as a substantive agenda item to the Health
Assembly, through the Executive Board, on the achievements made in advancing towards the global goals of the
Immunization Agenda 2030. This second report on achievements will summarize the progress towards the goals
and targets of the Immunization Agenda 2030. The Board will be invited to note the report and provide further
guidance.
10. End TB Strategy
In resolution WHA73.3 (2020) the Health Assembly adopted the global strategy for tuberculosis research and
innovation. In response to a request in the resolution, the Director-General will submit a report on progress in
respect of the End TB Strategy, including implementation of the global strategy for tuberculosis research and
innovation, for consideration by the Seventy-seventh World Health Assembly, through the Executive Board. The
Board will be invited to note the report and provide further guidance.
11. Road map for neglected tropical diseases 2021–2030
The Director-General will submit a report in response to decision WHA73(33) (2020), in which the Health
Assembly endorsed the road map and requested biennial reports, through the Executive Board, on the
implementation of the road map for neglected tropical diseases 2021–2030. The Board will be invited to note the
report and provide further guidance.
12. Acceleration towards the Sustainable Development Goal targets for maternal health and
child mortality
Progress to reduce the global maternal mortality ratio to less than 70 per 100 000 live births by 2030 (SDG
target 3.1) stagnated between 2016 and 2020;in addition, 54 countries are off track to end preventable deaths of
newborns and children under 5 years of age by the same year (SDG target 3.2), and achieve the target of lowering
neonatal mortality to at least 12 per 1000 live births and under-5 mortality to at least 25 per 1000 live births). The
Board will be invited to note the report and provide further guidance.
13. Antimicrobial resistance: accelerating national and global responses
In line with resolution WHA72.5 (2019) and in preparation for the high-level meeting of the United Nations
General Assembly on antimicrobial resistance, scheduled to be held in September 2024, the Director-General will
submit a report on WHO’s strategic and operational priorities to address drug-resistant bacterial infections, for the
period 2025–2035. The Board will be invited to note the report and provide further guidance.
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EB154/1 (annotated)
Pillar 2: One billion more people better protected from health emergencies
14. WHO’s work in health emergencies
The Director-General will submit a report that provides updates on all public health emergencies of international
concern, Grade 3 and United Nations Inter-Agency Standing Committee level 3 emergencies in which WHO took
action in 2023 (up to 30 September) and on the progress made to improve research and development for potentially
epidemic diseases. A second report will describe the work that WHO is undertaking at global, regional and country
levels in order to strengthen health emergency prevention, preparedness, response and resilience. The Board will
be invited to note the reports and provide further guidance.
15. Implementation of resolution WHA75.11 (2022)
The Seventy-sixth World Health Assembly adopted decision WHA76(8), requesting the Director-General to report
to the subsequent Health Assembly in 2024, through the Executive Board at its 154th session, on the
implementation of resolution WHA75.11 (2022), including an assessment of the direct and indirect impact of the
Russian Federation’s aggression against Ukraine on the health of the population of Ukraine, as well as related
regional and wider than regional health impacts including its adverse effect on the attainment of the objective and
functions of WHO. The Board will be invited to note the report and provide further guidance.
16. Global Health and Peace Initiative
The Seventy-sixth World Health Assembly took note of the road map for the Global Health and Peace Initiative.
Pursuant to decision WHA76(12) (2023), the Director-General will submit a report through the Executive Board
to the Seventy-seventh World Health Assembly on progress made on strengthening the road map. The report will
outline the work that the Secretariat has undertaken towards that goal as well as the outcome of consultations that
have taken place. The Board will be invited to note the report and provide further guidance.
17. Poliomyelitis
• Poliomyelitis eradication
The Director-General will submit a report on the implementation of the Polio Eradication Strategy 2022–2026,
including progress on interrupting transmission of both wild poliovirus and circulating vaccine-derived
polioviruses, with an update on the financing situation at the end of 2023. The Board will be invited to note the
report and to focus its discussions on concrete ways to ensure the full implementation and resourcing of the Polio
Eradication Strategy 2022–2026.
• Polio transition planning and polio post-certification
Pursuant to decision WHA70(9) (2017), the Director-General will provide a status update on the implementation
of WHO’s Strategic Action Plan on Polio Transition (2018–2023), with a focus on lessons learned and the
proposed strategic direction for the period beyond 2023. The Board will be invited to note the report and provide
guidance on the post-2023 strategic direction.
18. Smallpox eradication: destruction of variola virus stocks
In resolution WHA60.1 (2007), the Health Assembly authorized retention of variola virus in two repositories for
time-limited research and associated activities for development of diagnostics, antiviral agents and vaccines for
smallpox, in order to reach global consensus on a date for destruction of remaining virus stocks. The
Director-General will submit a report that provides an overview of these activities in line with WHO’s
Thirteenth Global Programme of Work (2019‒2025) to better protect people from health emergencies. The Board
will be invited to note the report and provide further guidance.
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EB154/1 (annotated)
Pillar 3: One billion more people enjoying better health and well-being
19. Social determinants of health
The upcoming World Report on Social Determinants of Health Equity presents an update on the situation of health
equity and its social determinants, progress made so far in addressing them and recommendations for further
action. The report submitted for the consideration of the Executive Board previews the World Report and notes
the impacts of the pandemic of coronavirus disease (COVID-19) and other interlinked crises and social transitions
impacting health equity and highlights the increased importance of addressing social determinants across sectors.
The Board will be invited to note the report submitted by the Director-General and to provide further guidance.
20. Maternal, infant and young child nutrition
This biennial report will update progress on the realization of the comprehensive implementation plan on maternal,
infant and young child nutrition and on implementation of the International Code of Marketing of Breast-milk
Substitutes. The Board will be invited to note the report and provide further guidance.
21. Well-being and health promotion
The Director-General will submit a report on the implementation of resolution WHA75.19 (2022), including on
the development of a framework for achieving well-being. The Global Well-being Framework comprises
six strategic directions to promote societal well-being based on key determinants of health (namely, environmental,
social and economic), equitable universal health coverage, digital transformation and measurement of progress,
tying them together with suggested effective policy orientations drawn from country-level experiences. The
Framework lays the foundation for improved coherence and coordination of policies and programmes to create
healthy and resilient societies. The Board will be invited to note the report and provide further guidance.
22. Climate change, pollution and health
• Impact of chemicals, waste and pollution on human health
The Director-General will submit a report on the implementation of resolution WHA76.17 (2023), which called
upon Member States to support the Secretariat in engaging with two initiatives by the United Nations Environment
Assembly: the establishment of a science-policy panel to contribute to the sound management of chemicals and
waste and prevent pollution; and the development of an internationally-binding instrument on ending plastic
pollution. The report will present options for WHO’s involvement. The Board will be invited to note the report
and provide further guidance.
• Climate change and health
The Director-General will submit a report that describes the increasing health impacts of climate change, the
opportunities to protect and enhance health through climate action, the necessary actions by the global health
community, and the unique role of WHO in leading, informing, guiding and implementing the health response to
climate change. The Board will be invited to note the report and provide further guidance.
23. Economics and health for all
The Director-General will submit a report that summarizes the activities and recommendations of the WHO
Council on the Economics of Health for All. It will also provide information to support an approach for
policy- and decision-making that enables a better balance between the economy and health and which recognizes
that achieving health for all requires sustained economic and fiscal investments that are multisectoral and
long-term. The Board will be invited to note the report and to provide guidance on the proposed way forward.
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EB154/1 (annotated)
Pillar 4: More effective and efficient WHO providing better support to countries
24. Budget and finance matters
24.1 Financing and implementation of the Programme budget 2022–2023 and outlook on
financing of the Programme budget 2024–2025
The Director-General will submit a report on the financing and implementation of the Programme budget
2022–2023 and provide an update on the financing of the Programme budget 2024–2025. The Board will be invited
to note the report and provide further guidance.
24.2 Draft fourteenth general programme of work
The Director-General will submit for the Board’s consideration the draft fourteenth general programme of work
(2025‒2028). Building on the Thirteenth General Programme of Work (2019‒2025), WHO’s Transformation
Agenda and the WHO Results Framework and incorporating lessons learned, the draft fourteenth general
programme of work sets a health and well-being agenda for all health players, with the overarching goal of
promoting, providing and protecting health and well-being for all people, everywhere. The Board is invited to note
the report and provide further guidance for finalizing the draft programme of work. In a separate document, the
Evaluation Office will provide an evaluation of the implementation of the Thirteenth General Programme of Work
for the Board’s information.
24.3 Sustainable financing: WHO investment round
In response to the request in decision WHA76(19) (2023), the Director-General will provide a full plan, with
modalities and expected costs and efficiencies, for the WHO investment round. The plan has been developed
through multiple consultations with Member States and includes proposed next steps. The Board is invited to
consider the report and provide further guidance.
24.4 Amendments to the Financial Regulations and Financial Rules [if any]
25. Management and governance matters
25.1 Prevention of sexual exploitation, abuse and harassment
The Director-General will provide an update on the progress in implementing WHO’s three-year strategy for
preventing and responding to sexual misconduct (2023‒2025), along with challenges and opportunities for
Member States’ engagement and guidance. The Board will be invited to note the report and provide further
guidance.
25.2 Evaluation: update and proposed workplan for 2024–2025
The report submitted by the Evaluation Office will describe progress in implementing the evaluation workplan for
2022–2023. The Office will also submit the proposed costed evaluation workplan for 2024–2025, which has been
developed through consultation at senior management level across the Organization and discussed with the
Independent Expert Oversight Advisory Committee. It further describes activities to strengthen the evaluation
function and use. The Board will be invited to note the report and approve the proposed workplan.
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EB154/1 (annotated)
25.3 Matters emanating from the Agile Member States Task Group on Strengthening WHO’s
Budgetary, Programmatic and Financing Governance
The Director-General will submit a set of reports, covering some of the mandates given and requests made by the
governing bodies in response to the work of the Task Group and the Secretariat’s implementation plan for reform.
He will also transmit two reports from the former co-facilitators of the Task Group The Board will be invited to
note the reports, provide further guidance and consider the relevant draft decision.
25.4 Engagement with non-State actors
• Report on the implementation of the Framework of Engagement with Non-State Actors
In accordance with resolution WHA69.10 (2016) and the Framework of Engagement with Non‑State Actors
(subparagraph 68(a)), the Director-General will submit the eighth annual report on WHO’s implementation of the
Framework, illustrating engagements with entities and reporting on the different aspects of the implementation of
the Framework at the three levels of the Organization. The Board will be invited to note the report.
• Non-State actors in official relations with WHO
In line with the provisions of the Framework of Engagement with Non-State Actors, the Executive Board is
mandated, through its Programme, Budget and Administration Committee, to consider applications for admittance
of non-State actors into official relations and to review collaboration with one third of the non-State actors in
official relations in order to decide whether to maintain, defer the review or discontinue their official relations.
The Board will be invited to note the report and to consider a draft decision.
25.5 Nomination and appointment of Regional Directors
A document will be submitted on the legal framework applying to the processes for the election of Regional
Directors with proposals for new measures to strengthen the transparency, integrity and accountability of future
processes for such elections. The Board will be invited to note the report and provide guidance on next steps.
26. Provisional agenda of the Seventy-seventh World Health Assembly and date and place of
the 155th session of the Executive Board
The Board will consider a draft decision on the date and place of the 155th session of the Executive Board.
27. Committees of the Executive Board
27.1 Independent Expert Oversight Advisory Committee: membership renewal
The Board will be invited to note a report by the Director-General on the membership of the Independent Expert
Oversight Advisory Committee and consider a draft decision.
27.2 Foundation committees and selection panels
The Director-General will submit reports summarizing the outcomes of the meetings of the selection panels for
the prizes to be awarded in 2024.
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EB154/1 (annotated)
28. Staffing matters
28.1 Appointment of the Regional Director for the Eastern Mediterranean
The Regional Committee’s proposal for the appointment of the Regional Director will be transmitted to the Board
for its consideration. The Board will be invited to consider a draft resolution.
28.2 Appointment of the Regional Director for South-East Asia
The Regional Committee’s proposal for the appointment of the Regional Director will be transmitted to the Board
for its consideration. The Board will be invited to consider a draft resolution.
28.3 Appointment of the Regional Director for the Western Pacific
The Regional Committee’s proposal for the appointment of the Regional Director will be transmitted to the Board
for its consideration. The Board will be invited to consider a draft resolution .
28.4 Statement by the representative of the WHO staff associations
In a statement to the Board, the representative of the staff associations of WHO, IARC, PAHO and UNAIDS will
highlight the views of their members on issues currently seen as of great importance for the Organization.
28.5 Report of the Ombudsperson
Since 2018, all ombudsmen across WHO have issued a combined annual report of their activities to the Board.
The Ombudsman will present a report drafted after consultation with regional ombudsmen that will outline the
most relevant systemic issues identified during that period and provide recommendations to address the matters
raised. A separate report will provide both an update on the administration’s response to the recommendations
made in the previous report of the Ombudsman and comments on the recommendations from the current report.
28.6 Human resources: update
The Director-General will submit an update to the human resources annual report for 2022 noted by the
Seventy-sixth World Health Assembly in May 2023. The report will summarize workforce data and describe
activities conducted under the human resources strategy and within the major transformation workstreams. The
Board will be invited to note the report. In response to resolution WHA74.8 (2021) and as requested by the
Executive Board at its 146th session,1 the Director-General will present a report describing the progress WHO has
made on the implementation of the United Nations Disability Inclusion Strategy from 2019 to mid-2023. The
Board will be invited to note the report.
28.7 Amendments to the Staff Regulations and Staff Rules
Amendments to the Staff Rules made by the Director-General will be submitted for confirmation by the Board in
accordance with Staff Regulation 12.2. Proposed amendments to the Staff Regulations will be submitted to the
Board for its consideration and for further submission to the Seventy-seventh World Health Assembly. The Board
will also be invited to consider three draft resolutions.
28.8 Report of the International Civil Service Commission
The Director-General will transmit the Commission’s report and recommendations to the Board. The Secretariat
will provide the Board with a verbal summary of the salient points. The Board will be invited to note the report.
1 Document EB146/2020/REC/2, summary record of the first meeting.
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EB154/1 (annotated)
29. Report on meetings of expert committees and study groups
• Expert advisory panels and committees and their membership
In compliance with Regulation 4.23 of the Regulations for Expert Advisory Panels and Committees, the
Director-General will submit a report on meetings of expert committees and study groups, including a summary
of the recommendations contained in the reports of expert committees and observations on their significance for
public health policies and implications for the Organization’s programmes. The Board will be invited to note the
report.
In addition, the Director-General will provide details of both meetings and membership in respect of expert
committees that met in 2023.
30. Closure of the session
Note:1
1. The Officers of the Executive Board met with the Director-General on 6 October 2023. The meeting was
organized using a hybrid format, with some participants physically present in Geneva and others attending
virtually by means of video conference technology. The Vice-Chairs from Japan, Timor-Leste and Paraguay were
unable to attend.
PURPOSE OF THE MEETING
2. In accordance with Rule 8 of the Rules of Procedure of the Executive Board, the meeting would review the
existing draft Provisional agenda of the 154th session of the Board, to be held in January 2024, together with
proposals received for additional items, in order to prepare the Provisional agenda.
3. The meeting opened with a welcome from the Director-General to the Chair and other Officers.
4. The Chair of the Executive Board chaired the meeting. In her opening comments, she welcomed the
Officers. She also noted that Regional Coordinators had been invited to attend as observers.
5. The Officers agreed to the proposed method of work. At the proposal of the Chair, they also agreed to
discuss together the items on (i) the prioritization of proposals for the Provisional agenda of the 154th session of
the Executive Board and (ii) the preparation of that agenda.
PROVISIONAL AGENDA OF THE 154TH SESSION OF THE EXECUTIVE BOARD
6. The Chair informed the Officers that 20 proposals for new agenda items had been received by the deadline
of 20 September 2023.
7. The Chair reminded Officers of the template, requested by the Executive Board at its 144th session, which
invited the Officers to consider several elements, including whether the proposed items addressed a global public
health issue, a new subject within the scope of WHO, or an issue representing a significant public health burden.
1 See the Note for the Record of the meeting of the Director-General with the Officers of the Executive Board on
6 October, 2023 (https://apps.who.int/gb/gov/assets/NFR-06-10-2023-en.pdf).
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8. The Chair proposed that, following their review, the Officers should decide between five options:
Option 1: accept the proposal as a new agenda item
Option 2: combine the proposed item with an existing item
Option 3: defer the proposed item to a later session
Option 4: refer the proposal to another governing body, such as the regional committees or the Programme,
Budget and Administration Committee of the Executive Board
Option 5: exclude the proposal.
9. The Officers of the Board agreed to make the recommendations set forth below:
Pillar 1: One billion more people benefiting from universal health coverage
• notwithstanding the importance of the subject, that the item proposed by the Government of the State of
Qatar – entitled “Sport for health” – should be excluded on the basis that the Health Assembly in
endorsing WHO’s global action plan on physical activity 2018–2030, through resolution WHA71.6
(2018), had already provided a mandate for work in that area, with implementation ongoing and reports
on progress due in 2026 and 2030; and that the Secretariat would work with the proponents to enable
them, should they so wish, to submit a draft resolution to the Executive Board at its 154th session under
an existing agenda item;
• that the item proposed by the Government of the Federal Republic of Somalia on accelerating towards
the Sustainable Development Goal targets for maternal health and child mortality should be accepted
onto the provisional agenda of the 154th session of the Board, bearing in mind that efforts to achieve
universal health coverage had fallen behind, with maternal mortality rates rising, in particular;
• that the item proposed by the Government of the Republic of Iraq on nutrition for patients at Iraqi
hospitals, which essentially involved the important matter of country-level implementation, should be
referred to the regional committees, noting that implementation would in any case be discussed at the
forthcoming Executive Board under existing items;
• that the item proposed by the Government of Malaysia and the Government of the Federal Democratic
Republic of Nepal – entitled “Strengthening access to services for refractive error in the health sector
and beyond through multisectoral cooperation” – should be excluded as mandates for work in that area
had already been provided by the Health Assembly in resolution WHA73.4 (2020) and decision
WHA74(12) (2021), with implementation under way, and with a specific report on progress due in 2024,
followed by related input as part of wider biennial reporting on the 2030 Agenda for Sustainable
Development (resolution WHA69.11 (2016));
• that the item proposed by the Government of the Kingdom of Thailand on behalf of a group of Member
States – entitled “Antimicrobial Resistance: accelerating national and global responses” – should be
accepted onto the provisional agenda of the 154th session of the Board in view of the fact that efforts
in that area were lagging behind;
• that the item proposed by the Government of the Republic of Mauritius – entitled “Better Structure
Policy/Decision Making Process” – should be excluded as the subject of evidence-based health care
planning was already scheduled to be discussed at the Seventy-seventh World Health Assembly in 2024;
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• notwithstanding the importance of the subject, that the item proposed by the Government of the Federal
Democratic Republic of Ethiopia and the Government of Malaysia – entitled “Request for Global
Strategy and Action Plan on Integrated Emergency, Critical and Operative care (ECO)” – should be
excluded as a mandate for action already existed through resolution WHA76.2 (2023), with reports on
progress due in 2024, 2027 and 2029;
• that the item proposed by the Government of the Kingdom of Thailand – entitled “Trade and health
policy coherence to support universal health coverage and health security” – should be excluded as a
broader mandate for action already existed through the Global Strategy and Plan of Action on Public
Health, Innovation and Intellectual Property, the timeframe of which had been extended from 2022 to
2030 through resolution WHA75.14 (2022);
• that the item proposed by the Government of the Kingdom of Spain on human cell, tissue and organ
transplantation should be excluded as the Health Assembly, through decision WHA75(17) (2022), had
decided to continue biennial reporting on the implementation of resolution WHA63.22 (2010) on human
organ and tissue transplantation;
• that the item proposed by the Government of the Dominican Republic on behalf of a group of Member
States on embedding mental health into universal health coverage should be excluded, bearing in mind
that mental health was currently included in reporting under the mandate for comprehensive annual
reporting on noncommunicable diseases in line with decision WHA72(11) (2019);
• that the item proposed by the Government of the Togolese Republic on tackling the burden of skin
diseases should be excluded as there was already a mandate for action in that area through the
roadmap for neglected tropical diseases 2021–2030, endorsed by the Health Assembly in decision
WHA73(33), with biennial reports on progress to the Health Assembly through the Executive Board
already due in 2024 and 2026, to be followed by reports to the Health Assembly only in 2029 and 2031;
• that the item proposed by the Government of the Kingdom of Morocco on haemophilia and other
hereditary coagulation disorders should be excluded as the subject could already be discussed under
the mandate for comprehensive annual reporting on noncommunicable diseases in line with decision
WHA72(11) (2019), while related mandates had been conferred by resolution WHA59.20 (2006) on
sickle-cell anaemia and resolution WHA63.12 (2010) on availability, safety and quality of blood
products, with reports to the Health Assembly on progress in respect of the latter resolution due in 2024
and every two years thereafter until 2030;
• that the item proposed by the Government of the Kingdom of Morocco on promoting the health of
refugees and migrants should be excluded as resolution WHA76.14 (2023) had extended the WHO
global action plan on promoting the health of refugees and migrants, 2019–2023 to 2030, with reports
to the Health Assembly on progress due in 2025, 2027 and 2029;
• that the item proposed by the Government of the Federal Democratic Republic of Ethiopia – entitled
“Global action plan on self-care interventions for the period 2023–2030” – should be excluded as work
was already ongoing in that area within the Secretariat (evidenced by the recent updating of guidance
on self-care, WHO guideline on self-care interventions for health and well-being, 2022 revision);1 and
since the subject of well-being and health promotion had been discussed at the last two sessions of the
Health Assembly and was already on the agendas of the governing bodies in 2024;
1 WHO guideline on self-care interventions for health and well-being, 2022 revision. Geneva: World Health
Organization; 2022.
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• that an item proposed by the Chair on universal health coverage should be accepted onto the
provisional agenda of the 154th session of the Board as efforts to achieve Sustainable Development
Goal target 3.8 (Achieve universal health coverage, including financial risk protection, access to quality
essential health-care services and access to safe, effective, quality and affordable essential medicines
and vaccines for all) were not on track and there was currently no opportunity for Member States to
have a broad discussion of universal health coverage; moreover, the subjects covered by certain
proposals excluded from the agenda were linked to universal health coverage, meaning that any related
draft resolutions could be tabled and therefore could also be raised under a dedicated item on that
subject;
• that the Secretariat’s proposal to change the title of existing agenda item 7 to read “Draft global action
plan for infection prevention and control,” be accepted in order to align with the actual title of the
document that the Executive Board would be considering;
Pillar 2: One billion more people better protected from health emergencies
• notwithstanding the importance of the subject, and while the Officers highlighted the importance of
implementation and country work, that the item proposed by the Government of the Republic of Iraq on
emergency medical services should be excluded as resolution WHA72.16 on the specific subject had
been adopted by the Health Assembly in 2019 with a report on progress submitted to the Seventy-fourth
World Health Assembly in 2021, while further related mandates existed on emergency preparedness,
through multiple other governing bodies resolutions;
Pillar 3: One billion more people enjoying better health and well-being
• that the item proposed by the Government of the Republic of Guatemala on drinking water, sanitation,
hygiene and other aspects of environmental health should be excluded as work was already under way
in that area as part of the implementation of the WHO water, sanitation and hygiene strategy
2018–2025, which was already slated to be discussed at the Seventy-eighth World Health Assembly in
2025, while a further mandate existed through resolution WHA72.7 (2019), in respect of which progress
reports had been submitted recently to the Health Assembly (in 2021 and 2023);
• that the item proposed by the Government of the Kingdom of the Netherlands on behalf of a group of
Member States, on climate change and health, should not be a standalone item as it had been discussed
recently; but, given the urgency of the matter, that it should be combined with the existing item on the
impact of chemicals, waste and pollution on human health, with bullets to be added under an
overarching title, one on the impact of chemicals, waste and pollution on human health, the other on
climate change and health;
• that, while timely, the item proposed by the Government of the Republic of Mauritius – entitled
“Supporting Countries in the Southern Hemisphere/Africa in their quest to introduce Artificial
Intelligence (AI) in the Healthcare Industry” – should be excluded as broad mandates existed through
decision WHA73(28) (2020), in which the Health Assembly had endorsed the global strategy on digital
health (2020–2025) and a related report would be considered by the Health Assembly in 2025, at which
moment the specific matter could be discussed, while the Secretariat had also issued a publication on
the subject, Ethics and governance of artificial intelligence for health: WHO guidance, 1 in 2021;
• that the item proposed by the Government of the Republic of Finland on behalf of a group of Member
States – entitled “Economics and health for all” – should be accepted onto the provisional agenda of
the 154th session of the Board as no specific mandate existed for action in that area and discussion by
1 Ethics and governance of artificial intelligence for health: WHO guidance. Geneva: World Health Organization;
2021.
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the governing bodies of this matter could open doors for greater cross-government involvement in
health, with the Officers stressing the challenges to health financing in respect of current pandemics
and the importance of WHO showing leadership on the matter;
Pillar 4: More effective and efficient WHO providing better support to countries
• that, although the importance of focussing on implementation was recognized, the item proposed by the
Government of the Republic of Iraq – entitled “Authorizing the country office to implement the health
programme budgets according to the country priorities” – should be excluded as budget and finance
matters were already on the agenda of every Executive Board;
• that an item proposed by the Chair on the nomination and appointment of Regional Directors be
accepted onto the provisional agenda of the 154th session of the Board, with the Director-General
welcoming the fact that at least two candidates’ forums would have been organized as part of the current
round of elections.
NEXT STEPS
10. The Secretariat indicated that the draft Note for the Record of the meeting would be shared with the Officers
for comment in a timely manner, together with a revised Provisional agenda. Following the Officers’ review, the
Note for the Record would be communicated to Member States and the Provisional agenda posted on the web. The
Secretariat also gave an assurance that, as always, it would liaise with the Member States that had made
proposals, on the basis of the Officers’ recommendations, and would give them appropriate future support.
11. It was noted that, although the meeting had been productive, further improvements in ways of working
could still be made in respect of both the consultations of the Officers of the Executive Board and the sessions of
the Board itself. The Officers expressed their willingness to continue supporting such improvements, including
through discussions at the forthcoming informal Executive Board in December 2023.
= = =
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