Of the total approved PB, as illustrated in the figure below, funds available for implementation amounted to $872.1 million, including $614.8 million for base programs (representing 96.2% of the approved base budget) and $257.3 million for special programs, which was above the $202 million placeholder. At the close of the biennium, $841.3 million ($590.8 million for base programs and $250.5 million for special programs), or 95.4% of the total approved budget, were implemented. This level of implementation is substantially higher than that observed during the prior biennium, with base programs showing a 34% higher implementation ($590.8 million compared to $442.3 in the PAHO Program Budget 2020–2021).
 

Financing of the Program Budget 2022–2023

During 2022–2023, PAHO secured a total of $937.2 million, 6% ($55.7 million) over financing of the approved total budget. Base programs received 96.2% funding ($653.6 million of $679.5 million approved). Special programs received $283.6 million, representing 40.4% more than the amount that had been projected as a placeholder. Of this amount, 91% ($257 million) was assigned to Outbreak and Crisis Response (OCR) to address the COVID-19 pandemic and other health emergencies. The additional funds received for OCR resulted in the overfinance of the total Program Budget, as noted above. Due to the different timing of resources mobilized, however, not all funds become available for implementation, producing a gap between the total financing and the funds reported as available for implementation. The figure below shows the funding sources for base programs.

PAHO Voluntary Contributions

Resource mobilization efforts yielded $160.5 million in PAHO voluntary contributions during 2022–2023, though some of these funds correspond to multi-year agreements that extend beyond the specific biennium. 86% of all voluntary contributions available for implementation in 2022–2023 originated from 10 donors. While PASB highly values the trust of its partners and their commitment to support the Program Budget, the Organization does recognize the critical need for greater flexibility of funds and improved alignment with priorities set out in its mandates.  

WHO Allocation to the Americas 2022-2023 

As of 31 December 2023, the AMRO base program budget was financed in the amount of $182.4 million (62% of the approved base program budget), of which $123.2 million came from WHO flexible funds and $59.2 million from voluntary contributions. This amount is 7% ($12 million) higher than in the 2020–‍2021 biennium and represents 28% of the PAHO funding sources for base programs in 2022–2023.  

When AMRO special programs are considered ($77.7 million), total financing of the AMRO portion of the WHO PB22–23 amounted to $260.1 million.2 This is 12% less than in the 2020–2021 biennium because of a reduction in voluntary contributions for the COVID-19 pandemic that was not completely compensated by the increase in base programs. Despite this overall reduction, financing of the AMRO portion of the WHO PB22–23 continues to show an increasing trend over prior biennia, as shown in the figure.  
 

PAHO Other Sources

Includes PAHO’s funds from cost-recovery mechanisms as well as surpluses and sales of services in a given budgetary period. These funds accounted for $102.2 million (16% of total available funds for base programs in 2022–2023).

Distribution of Funds by Functional Level  

In light of PASB’s strong commitment to prioritize its work at the country level, and in accordance with the PAHO Budget Policy, it is essential to note that the distribution of funds to the country level was above the mandated 45%. Furthermore, technical and enabling functions coordinated by the regional level also benefit the country and subregional levels.