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World Health Organization plagued by travel expense abuses

AP
Published May 21, 2019, 4:54 pm IST
Updated May 21, 2019, 5:03 pm IST
The UN health agency struggles with travel abuses, while they try to raise funds their fight against Ebola, according to the latest auditors' report.
An Ebola health worker is seen at a treatment centre in Beni, Eastern Congo. (Photo: AP)
 An Ebola health worker is seen at a treatment centre in Beni, Eastern Congo. (Photo: AP)

London: The World Health Organization (WHO) spent nearly USD 192 million on travel expenses last year, with staffers sometimes breaking the agency's own rules by travelling in business class, booking expensive last-minute tickets and travelling without the required approvals, according to internal documents obtained by The Associated Press.

The abuses could spook potential donors and partners as the organisation begins its week-long annual meeting Monday in Geneva, seeking increased support to fight a devastating outbreak of Ebola in Congo and other deadly diseases including polio, malaria and measles.

 

The nearly USD 192 million is down 4 per cent from 2017, when the agency pledged to rein in travel abuses following an AP investigation. Recent documents show WHO auditors found some WHO staffers were still misrepresenting the reasons for their travel to exploit loopholes in the organisation's policies and flying business class, which can be several times more expensive than economy, even though they did not meet the criteria to do so.

In response to questions from the AP, WHO said Monday that "travel is often essential to reaching people in need" and noted that 55 per cent of its travel spending went to bring outside experts and country representatives, often from developing countries, to technical and other meetings.

It added that numerous new measures were adopted in 2018 that aimed to make sure "staff travel is necessary, economical, appropriate and efficient." The agency said there was an overall reduction in the number of business class trips by 49 per cent for non-employees and a drop of 40 per cent for WHO staffers.

"When staff travels, they do a range of things, including responding to emergencies, assessing countries' emergency preparedness, implementing vaccine and other public health campaigns, training health workers and more," the agency said.

But WHO's inability to significantly curb its expenses could undermine its credibility and make it more difficult to raise money to fight health crises, according to Sophie Harman, a global health professor at Queen Mary University in London. She said the problem wasn't so much the amount that WHO was spending on travel, but how it was being used.

"WHO needs to get its own house in order to legitimately go to the international community saying, 'We need more money for Ebola,'" she said.

Among other responsibilities, WHO is the UN agency charged with setting global health guidelines and coordinating the response to health emergencies around the world. Its approximately USD 2 billion annual budget is mainly drawn from the taxpayer-funded contributions from member countries. The US is WHO's biggest contributor.

During this week's World Health Assembly, a yearly gathering of WHO's highest decision-making body, including member states and donors, the agency will be trying to raise more funds for Ebola and other health priorities. The costs of fighting the Ebola epidemic have left it with a funding gap of more than USD 50 million.

In 2017, the AP reported that WHO was spending roughly USD 200 million each year on travel, including first-class airplane tickets and five-star hotels for its director-general, Dr Margaret Chan, which health experts said exposed the agency's misplaced priorities.

Amid such criticism, Chan's successor, Tedros Adhanom Ghebreyesus, promised to take action. In response to AP questions, WHO said Monday that Tedros travels in either business class or economy, depending on the distance and spent USD 209,000 on travel in 2018.

"WHO's travel policy prohibits first-class travel for all staff," the agency said, adding that a host of initiatives have helped cut travel costs.

For non-emergency travel, the proportion of business class flights dropped to 18 per cent last year, from 27 per cent the previous year, according to external auditors. Yet other international aid agencies, including Doctors Without Borders and the US Centers for Disease Control and Prevention, explicitly forbid staff from travelling in business class.

WHO's external auditors said when some staffers flew business class even though they didn't meet the UN criteria to do so, they failed to submit paperwork justifying the exception. "Based on the difference in ticket costs for business class and economy class, savings could have been realised by the organisation," the report said, citing more than 500 travel requests last year that may have broken the rules.

In a series of anonymous emails sent to WHO directors last year, a whistleblower alleged there were numerous instances of "senior staff travelling with girlfriends on fabricated missions," including during the 2014 Ebola outbreak in West Africa. One message claimed a senior staffer flew to Australia from Geneva "on a trumped-up trip at WHO expense" that cost the organisation 11,000 Swiss francs (USD 10,889).

In December, Tedros ordered an internal probe into these and other misconduct allegations. According to WHO's Office of Internal Oversight, 13 per cent of the fraud cases it investigated last year involved alleged problems with travel claims. In one of WHO's regional offices, investigators found a staffer had submitted void boarding passes as evidence of travel, aiming to get "an unauthorised benefit for an estimated amount of USD 15,202." WHO says the staffer resigned and the agency did not suffer any financial losses in the case.

The WHO auditors' report comes at time of critical financial need for the agency. WHO emergencies chief Dr Michael Ryan said this month that WHO's strategy to contain the spiralling Ebola outbreak in Congo, which has killed more than 1,000 people, exceeded USD 88 million and that the financial demands to fight Ebola were continuing to grow. "We have received USD 34 million and have a current, urgent, critical financial gap of USD 54 million," Ryan said.

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