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ID-77-15 1 (1977-05-16)

handle is hein.gao/gaobaacgm0001 and id is 1 raw text is: 


DOCUMENT RESUM'E


02242 - [A1452432]

U.S. Participation in the World Healt'i Organization Still Needs
Improvement. ID-77-15; B-164031(2). May 16, 1977. 52 pp.

Rep ct to Sen. Abraham Ribicoff, Chairman, Senate Committee on
Governmental Affairs; by Elmer B. Staats, Comptroller General.

Issue Area: International Economic and Military Programs (600);
    International Economic a-J Military Programs: U.S.
    Development Assistance Overseas (603);Health P[ogr-.ms
    (1200).
Contact: International Div.
Budget Function: International Affairs: Conduct of Foreign
    Affairs (152) ; Health: Prevention and Control of flealth
    Problems (553).
Organization Concerned: Department of State; Department of
    Health, Education, antd Welfare; Agency for International
    Develop-ent; World Health Organization.
Congressional Relevance: Senate Committee on Governmental
    Affairs.

         An update to a previous report by GAO on U.S.
participation in the World Health Organization (WHO) addressel
the need for clear-cut U.S. policies and objectives on
intarnational health. Findings/Conclusionts: Former
recammendations by GAO that the two Departments and one Agency
involved should formulate statements of such policies have not
been carried out be-ause of lack of coordination among U.S.
health-concerned agencies. Although there has been some
improvement in U.S. efforts to analyze WHO activities,
information from overseas posts is often of little ise because
of inadequate collaboration between U.S. and WHO personnel. WHO
planning and program budgeting procedures have improved, but
there are still shortcomings in the process and in meeting U.S.
needs for information. Current issues affecting WHD are (1) a
proposal of the Geneva Group to limit budget growth of the U.N.
and specialized agencies; and (2) a 1976 World Health Assembly
resolution to allocate 60% of the Regular Program Budget to
technical cooperation and services by 1980. GAO believed there
was merit in the Geneva Group proposal, but expressed concerns
about the resolution. Recommendations: The Secretary of State
qhould form an Interagency Committee to (1) de7elop objectives
.ad agro e on a Flan to achieve objectives; (2) submit an annual
statement to Congress; (3) give priorities to obtaining better
information; apd (4) provide for U.S. i-epresentation in budget
formulation. He should improve WHO planning and evaluation by
encouraging financial decisions, fcrmulation of national health
plans by member nations, and complete dissemination of program
information. He should assert that U.N. development should be
channeled through the United Nations Development Program and
financed through voluntary contributions. (HTW)

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