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REPORT of the REGIONAL DIRECTOR the Work of WHO in the African Region - Report of the Regional Director: 2017-2018

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REPORT of the REGIONAL DIRECTOR the Work of WHO in the African Region - Report of the Regional Director: 2017-2018 2017 2018 ANNUAL REPORT THE WORK OF WHO IN THE AFRICAN REGION REPORT OF THE REGIONAL DIRECTOR The Work of WHO in the African Region - Report of the Regional Director: 2017-2018 © World Health Organization Regional Office for Africa, 2018 Some rights reserved. This work is available under the Creative Commons Attribution- NonCommercial-ShareAlike 3.0 IGO licence (CC BY-NC-SA 3.0 IGO; https://creativecommons.org/ licenses/by-nc-sa/3.0/igo). Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes, provided the work is appropriately cited, as indicated below. In any use of this work, there should be no suggestion that WHO endorses any specific organization, products or services. The use of the WHO logo is not permitted. 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To submit requests for commercial use and queries on rights and licensing, see http://www.who.int/ about/licensing. Third-party materials. If you wish to reuse material from this work that is attributed to a third party, such as tables, figures or images, it is your responsibility to determine whether permission is needed for that reuse and to obtain permission from the copyright holder. The risk of claims resulting from infringement of any third-party-owned component in the work rests solely with the user. General disclaimers. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of WHO concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted and dashed lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by WHO in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by WHO to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall WHO be liable for damages arising from its use. Printed in Senegal ii Photo (C) WHO Contents ABBREVIATIONS ...............................................................................iv EXECUTIVE SUMMARY ......................................................................v 1. INTRODUCTION ............................................................................ 1 2. PROGRESS OF THE TRANSFORMATION AGENDA ...................... 3 3. IMPLEMENTATION OF THE PROGRAMME BUDGET 2016-2017 AND 2018-2019 ............................................................ 5 4. SIGNIFICANT ACHIEVEMENTS BY CATEGORY OF WORK ........... 8 4.1 Category 1: Communicable Diseases ................................. 9 4.2 Category 2: Noncommunicable Diseases .......................... 19 4.3 Category 3: Promoting Health through the Life-course ...... 25 4.4 Category 4: Health Systems ............................................. 31 4.5 Categories 5 & 12: Polio Eradication Programme and the WHO Health Emergencies Programme ................. 37 4.6 Category 6: Corporate Services and Enabling Functions ........................................................... 43 5 CONCLUSION AND LOOKING AHEAD ......................................... 49 6. ANNEXES .................................................................................... 50 ANNEX 1: SELECTED WHO/AFRO PUBLICATIONS BY CLUSTER ................................................................................... 51 LIST OF TABLES ................................................................................ 7 Table 1: Budget implementation for PB 2016-2017 and 2018-2019 as at 30 June 2018 (in US$ 000) ................................ 7 LIST OF FIGURES .............................................................................. 9 4.1.1. Number of countries implementing WHO’s consolidated guidelines for HIV/AIDS treatment by the end of 2017 ................................................................. 9 4.1.2. Countries that introduced shorter MDR-TB treatment regimens by the end of 2016 ............................ 11 4.1.3. DTP3 coverage in the African Region in 2017 ................... 12 4.1.4. Trends and prospects for HAT elimination by 2020 ............ 15 4.2.1. Status of NCD multisectoral plans in the Region ............... 19 4.3.1. Coverage of antiretrovirals for pregnant women, 2017 ....... 26 4.3.2. Coverage of selected HIV indicators among adolescent girls and boys by subregion, December 2016 .................. 27 iii ABBREVIATIONS Abbreviations AA-HA! Accelerated Action for the Health of Adolescents IMS incident management system APHEF African Public Health Emergency Fund IRIS WHO’s global Institutional Repository for Information ART antiretroviral therapy Sharing AUC African Union Commission ITU International Telecommunication Union BMGF Bill & Melinda Gates Foundation IVDs in vitro diagnostics CAP-TB Common African Position on ending TB IVM integrated vector management CCS Country Cooperation Strategy JEE Joint External Evaluation CFE Contingency Fund for Emergencies KPI key performance indicator COPD chronic obstructive pulmonary disease MIYCN Maternal, infant and young child nutrition CRMC Compliance and Risk Management Committee MDR-TB multidrug-resistant tuberculosis CVD cardiovascular disease NAP national action plan DFC Direct Financial Cooperation NCDs noncommunicable diseases DFID Department for International Development (UK) NTDs neglected tropical diseases DTP diphtheria-tetanus-pertussis-containing vaccine OAFLA Organisation of African First Ladies against HIV/AIDS EAC East African Community OFID OPEC Fund for International Development ECCAS Economic Community of Central African States PC-NTDs NTDs amenable to preventive chemotherapy ECOWAS Economic Community of West African States PCV pneumococcal conjugate vaccine EDCTP European and Developing Countries Clinical Trials PMTCT prevention of mother-to-child transmission Partnership PSC Programme Subcommittee eMTCT elimination of mother-to-child transmission RAcE Rapid Access Expansion project ERF Emergency Response Framework RIASCO Regional Inter-Agency Standing Committee ESPEN Expanded Special Project for Elimination of Neglected RMNCAH reproductive, maternal, newborn, child and adolescent Tropical Diseases health EVD Ebola virus disease RSSH resilient and sustainable systems for health EYE Eliminate Yellow Fever Epidemics strategy SADC Southern African Development Community Gavi The Vaccine Alliance SARA Service Availability and Readiness Assessment GFF Global Financing Facility SCD sickle cell disease GIS geographic information system SDGs Sustainable Development Goals GOARN Global Outbreak and Alert Response Network SIDA Swedish International Development Agency GPW General Programme of Work SIDS Small Island Developing States GSWCAH Global Strategy for Women’s, Children’s and Adolescents’ SMC seasonal malaria chemoprevention Health SMS short message service GVAP Global Vaccine Action Plan STIs sexually transmitted infections GWD Guinea worm disease TB tuberculosis HAT Human African Trypanosomiasis UHC universal health coverage HDC Health Data Collaborative UNICEF United Nations Children’s Fund HiAP Health in All Policies UNEP United Nations Environment Programme (UN HPV human papillomavirus vaccine Environment) HRH human resources for health WAHO West African Health Organisation IAG Independent Advisory Group WAEMU West African Economic and Monetary Union (UEMOA) IDSR Integrated Disease Surveillance and Response WHE WHO Health Emergencies Programme IEC information, education and communication WHO FCTC WHO Framework Convention on Tobacco Control IHR International Health Regulations WHO PEN WHO Package of Essential Noncommunicable Disease ICASA International Conference on AIDS and STIs in Africa Interventions IMAI Integrated Management of Adult and Adolescent Illness iv Executive Summary The Regional Director is pleased to present this report on the Secretariat of the WHO African Region more pro- work of WHO in the African Region for the period July 2017 active, results-driven and appropriately resourced to June 2018. The reporting period includes part of the last year of to deliver on its mandate to serve Member States in the WHO Programme Budget 2016-2017 and the
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