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Managing Money and Discord in the UNBudgeting and Bureaucracy$
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Ronny Patz and Klaus H. Goetz

Print publication date: 2019

Print ISBN-13: 9780198838333

Published to Oxford Scholarship Online: March 2019

DOI: 10.1093/oso/9780198838333.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 02 March 2021

WHO: Between Regional Principals and Philanthrolateralism

WHO: Between Regional Principals and Philanthrolateralism

(p.180) 8 WHO: Between Regional Principals and Philanthrolateralism
Managing Money and Discord in the UN

Ronny Patz

Klaus H. Goetz

Oxford University Press

The case of the WHO reveals the largest discrepancy between key formal rules governing budgeting procedures and the reality of budgeting dynamics and administration. The highly regionalized and fragmented structure of the WHO results in a budget process that is much more complex in practice than formal rules suggest. To accommodate strong regional interests and regionally organized principals, while at the same time managing budget constraints, the WHO budget process combines bottom-up, top-down, and horizontal administrative and political coordination. Due to the increasing importance of earmarked voluntary contributions for the financing of the WHO to approximately 80 percent of its budget, including very substantive financial support from the Bill & Melinda Gates Foundation of around a quarter of its budget, new administrative structures and procedures have been introduced. For example, the Financing Dialogue has become a new element of budgeting in international organizations that attempts to regain control over an ever-more segmented budgetary landscape.

Keywords:   WHO, regionalism, Bill & Melinda Gates Foundation, voluntary contributions, Financing Dialogue

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