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• W2088237494 abstract "Your Commentary (Sept 28, p 960),1Horton R WHO's mandate: a damaging reinterpretation is taking place.Lancet. 2002; 360: 960-961Summary Full Text Full Text PDF PubMed Scopus (10) Google Scholar gave a misleading impression of UK policy towards the World Health Organization (WHO). This was based on your misunderstanding of the purpose of the Institutional Strategy Paper (ISP)2Website of the Department for International Development (DFID).www.dfid.gov.ukGoogle Scholar issued by the Department for International Development (DFID) and the way this fits into broader UK objectives. We would like the opportunity to present the full picture. The UK Government is committed to supporting WHO in fulfilling its role and mandate across the full range of its agreed strategic priorities and functions. These include normative functions, technical and policy support, and the pursuit of proper implementation of standards, and this is fully recognised in the ISP The Department of Health takes the overall lead for UK relations with WHO, adopting a joined-up approach across Government, working particularly closely with the Foreign and Commonwealth Office (FCO) and Department for International Development (DFID). The Chief Medical Officer, Sir Liam Donaldson, is currently a member of the WHO Executive Board, and pursues the UK's objectives in that forum. WHO, in its role as the world's leading technical agency on health, has an essential role to play in setting norms and standards at a global level, and helping its member states to tackle the major burdens of disease, whatever their cause, and to strengthen their health capacities and infrastructures. Fighting the cause and spread of disease remains a major challenge, despite some notable successes WHO has had over the years. As the world's leading health agency, WHO has a major contribution to make in promoting health development and poverty reduction. It is thus a key agency with which the UK, through DFID, seeks to engage in support of our objectives in this area. The UK is actively engaged with WHO across a range of issues. We strongly support efforts to produce an effective Framework Convention on Tobacco Control, and will be active in the fifth round of negotiations starting next week. We continue to work with WHO on health systems performance, risk, nutrition, mental health, access to medicines, and many other issues. The UK was a main sponsor of work now initiated to deal with the problem of quality in health systems, in particular interventions to reduce the number of adverse incidents which lead to preventable mortality and morbidity in very many countries round the world. We will continue to promote the effectiveness of WHO in these areas. We also seek to work in partnership with governments and multilateral institutions that are committed to the Millennium Development Goals (MDGs), which represent a uniquely unifying opportunity to tackle global poverty and inequality. The MDGs have been signed up to by all nations and all UN agencies, including WHO. They include goals to reduce child mortality, improve maternal health and combat HIV/AIDS and other diseases. Progress on health outcomes is essential to achieve all the MDGs. ISPs are prepared for the main multilateral institutions with which the UK, through DFID, works to pursue its development objectives. These have been clearly set out in two UK White Papers on International Development. The ISPs set out how we aim to contribute to achieving the objectives, in our work in partnership with each of the institutions concerned. The WHO ISP2Website of the Department for International Development (DFID).www.dfid.gov.ukGoogle Scholar therefore represents one aspect of the UK Government's overall engagement with WHO. It focuses on DFID-led work in health and development and sets out how DFID will support the effective operation of WHO on this part of its remit. Consistent with our approach to broader UN reform, it focuses particularly on the responsiveness of WHO to Member States and to the needs of the poorest. The DFID-WHO partnership objectives set out in the ISP reflect this focus and have been agreed with WHO. At no point does the ISP attack WHO's mandate. The ISP recognises the WHO corporate strategy which rightly emphasises a broad approach to health outlined above as the framework for WHO business. In discussion with its member states, WHO should continue to set priorities for its programme budget. It cannot do everything. We wholeheartedly agree with Richard Horton1Horton R WHO's mandate: a damaging reinterpretation is taking place.Lancet. 2002; 360: 960-961Summary Full Text Full Text PDF PubMed Scopus (10) Google Scholar that WHO's mission should not be manipulated by governments that exert powerful budgetary control, leading to competition between WHO programmes. With this in mind, the UK Government provides extra-budgetary funds to WHO in a way that will not distort internal priority setting nor undermine the direction, constitution, and management coherence of WHO. This is contrary to the impression given in your article. The UK Government endorses the approach, as expressed by Horton, to health as complete wellbeing and as a “key to peace and security”. We believe that WHO is well positioned as a global health institution that can make a significant difference to the health and wellbeing of the world's population, contributing to poverty reduction. Our job, as a major donor nation, is to ensure that WHO continues to fulfil its mandate as effectively and efficiently as possible, in accordance with agreed objectives, and is sensitive to the needs of Members States and their peoples- not least to the 1·2 billion living on less than US$1 per day." @default.
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• W2088237494 date "2002-11-01" @default.
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• W2088237494 title "UK Government and WHO" @default.
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• W2088237494 doi "https://doi.org/10.1016/s0140-6736(02)11373-0" @default.
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