世卫组织可持续融资工作组向大会提交改革方案

世界卫生组织可持续融资工作组向第七十五届世界卫生大会提交了融资改革建议。1工作组指出，WHO预算中86%依赖捐赠方，仅14%来自可预测资金，这种结构存在显著财务风险。1经过约1年半的磋商和7次会议，工作组最终达成共识，建议通过一系列措施来改善组织的财务稳定性。1

工作组建议分阶段提高成员国评估费用。1第一步计划在2024-2025年预算周期中增加评估费用20%，随后逐步提升至2030-2031年双年度达到2022-2023年基础预算的50%，并力争在2028-2029年提前实现这一目标。1同时，工作组建议建立成员国工作组加强WHO在预算、项目和融资方面的治理，以确保透明度、效率、问责和合规性。1此外，工作组还建议探索补充融资机制来扩大融资基础，并强化项目、预算和行政委员会的作用。1

The WHO Sustainable Financing Working Group, chaired by Mr Björn Kümmel, has presented a comprehensive financing reform strategy to the Seventy-fifth World Health Assembly, addressing critical vulnerabilities in the organization's funding structure 1. The working group revealed that 86 percent of WHO's budget currently depends on donor contributions, with only 14 percent derived from predictable funding sources 1. After approximately eighteen months of deliberations across seven meetings, the group has reached consensus on measures designed to strengthen the organization's financial stability and governance 1.

The proposed reforms center on increasing assessed contributions from member states through a phased approach 1. The working group recommends raising assessed fees by 20 percent in the 2024-2025 budget cycle as an initial step, with the ultimate goal of achieving assessed contributions equivalent to 50 percent of the base budget by the 2030-2031 biennium, while aiming to accomplish this target by 2028-2029 if possible 1. Beyond revenue measures, the proposal includes establishing a dedicated member state working group to strengthen WHO's budget, project, and financing governance frameworks, ensuring greater transparency, efficiency, accountability, and compliance 1. The working group also recommends exploring supplementary financing mechanisms to broaden the funding base and reinforcing the roles of the Program, Budget, and Administration Committee 1.