{"id":120878,"date":"2025-08-30T13:03:34","date_gmt":"2025-08-30T13:03:34","guid":{"rendered":"https:\/\/www.newsbeep.com\/us\/120878\/"},"modified":"2025-08-30T13:03:34","modified_gmt":"2025-08-30T13:03:34","slug":"who-junior-staff-at-risk-as-pressure-mounts-to-protect-top-jobs-in-budget-cuts","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/us\/120878\/","title":{"rendered":"WHO Junior Staff At Risk As Pressure Mounts To Protect Top Jobs In Budget Cuts"},"content":{"rendered":"<p>\t<img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"127580\" data-permalink=\"https:\/\/healthpolicy-watch.news\/whos-low-and-mid-rank-staff-at-risk-in-face-of-pressures-to-preserve-costly-jobs-at-top\/un-workers-protest-better-photo\/\" data-orig-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/UN-Workers-Protest-Better-Photo.png?fit=1557%2C848&amp;ssl=1\" data-orig-size=\"1557,848\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"UN Workers Protest\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Geneva\u2019s UN Workers protest pending job cuts in May; WHO is the largest employer of UN agencies in the city. &lt;\/p&gt;&#10;\" data-medium-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/UN-Workers-Protest-Better-Photo.png?fit=300%2C163&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/UN-Workers-Protest-Better-Photo.png?fit=640%2C349&amp;ssl=1\" class=\"wp-image-127580 size-large\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2025\/08\/UN-Workers-Protest-Better-Photo-1024x558.png\" alt=\"\" width=\"1024\" height=\"558\"  \/>Geneva\u2019s UN Workers protest pending job cuts in May; WHO is the largest UN agency employer in the city.<\/p>\n<p>There is mounting rage amongst World Health Organization\u2019s (WHO) staff about planned workforce reductions, as new financial data suggests that low- and mid-level personnel are bearing the brunt of cuts\u2014while high-ranking executives, whose real costs far exceed their published salaries, remain largely protected.<\/p>\n<p>In an email to WHO staff last week, WHO Director General Dr Tedros Adhanom Ghebreyesus said that he anticipated some 600 jobs would be shed from WHO\u2019s Geneva headquarters for the coming 2026-2027 biennium. <\/p>\n<p>At the beginning of 2025, 2,938 WHO staff were employed at headquarters, and 9,452 worldwide, not including the Americas region, which has its own separate budget. But in January, the United States, WHO\u2019s largest donor, <a href=\"https:\/\/healthpolicy-watch.news\/u-s-to-exit-world-health-organization-halting-millions-in-funding\/\" target=\"_blank\" rel=\"noopener nofollow\">pulled the plug on its contributions<\/a> immediately after US President Donald Trump took office thrusting the agency into a deep crisis.\u00a0<\/p>\n<p>\u201cWith a 21% reduction in the 2026-2027 budget, we are now realigning our structures with our core mandate,\u201d Tedros told staff in an email on 19 August, coinciding with a management briefing to member states.\u00a0 <\/p>\n<p>\u201cSome activities are being sunset, others are being scaled down, and those directly linked to our mission are being maintained,\u201d he continued. \u201cAt headquarters, based on the final approved structures, we anticipate approximately 600 separations.\u00a0 Regional offices will provide their figures as their processes advance.\u201d\u00a0<\/p>\n<p>While the picture is still evolving, anecdotal reports of the emerging new departmental structures at headquarters suggest that a higher proportion of more senior P5 and P4 professionals could be retained in Geneva, in comparison to more junior counterparts at P3 and P2.\u00a0<\/p>\n<p>If junior posts are disproportionately abolished across the organisation, that will slam shut the doors to a younger generation for years to come.\u00a0<\/p>\n<p>\u2018Majority of high-cost positions have been kept\u2019 \u2013 anonymous letter<br \/>\n<img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"125199\" data-permalink=\"https:\/\/healthpolicy-watch.news\/african-nations-ask-who-for-increased-funding-as-global-health-aid-hits-decade-low\/cover-image-8\/\" data-orig-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/05\/Cover-image.jpeg?fit=1200%2C675&amp;ssl=1\" data-orig-size=\"1200,675\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Cover image\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;WHO-Director General Dr Tedros Adhanom Ghebreyesus at the 78th session of the World Health Assembly where the 2026-27 $1.7 billion budget deficit was a main agenda item. &lt;\/p&gt;&#10;\" data-medium-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/05\/Cover-image.jpeg?fit=300%2C169&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/05\/Cover-image.jpeg?fit=640%2C360&amp;ssl=1\" class=\"wp-image-125199 size-large\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2025\/08\/Cover-image-1024x576.jpeg\" alt=\"\" width=\"1024\" height=\"576\"  \/>WHO-Director General Dr Tedros Adhanom Ghebreyesus at the 78th session of the World Health Assembly where the 2026-27 $1.7 billion budget deficit was a major topic of discussion.<\/p>\n<p>In an anonymous staff letter to Tedros shared with Health Policy Watch, and published in full by the <a href=\"https:\/\/x.com\/pass_blue\/status\/1954899921913381271\" rel=\"nofollow\">New York-based agency Pass Blue<\/a> and one high-ranking <a href=\"https:\/\/www.linkedin.com\/posts\/ianxrichards_a-group-of-who-staff-has-written-to-activity-7361263990745841665-4GnH?utm_medium=ios_app&amp;rcm=ACoAAANtG8MBqLD3KQvlkmgMPUTzvI3YXtQZtyY&amp;utm_source=screenshot_social_share&amp;utm_campaign=whatsapp\" target=\"_blank\" rel=\"noopener nofollow\">UN official<\/a>, the authors charged that the WHO realignment has hit the lowest ranks hardest, due to the process being followed:\u00a0<\/p>\n<p>\u201cMany senior or technical roles are reviewed individually, reassigned early, or preserved outright,\u201d they complained. \u201cThe majority of high-cost positions have in fact been kept, while other posts, deemed \u2018standard or generic\u2019, are discontinued, the majority of those held by lower-ranking people.<\/p>\n<p>\u201cThe cuts have fallen not on cost, but on people, specifically those in lower-paid roles that are already filled,\u201d the letter continued. \u201cThis isn\u2019t about efficiency, it\u2019s about who is shielded and who is sacrificed.\u201d<\/p>\n<p>Additionally, new data and disclosures suggest that some of the budget cuts may be falling hardest on frontline teams that had fewer staff and budget to begin with, while historically large departments and teams with greater political clout suffer less. There is no clear linkage between the organisation-wide prioritisation exercise and actual budget envelopes granted to departments.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"124223\" data-permalink=\"https:\/\/healthpolicy-watch.news\/who-to-shrink-its-geneva-headquarters-down-to-just-four-divisions-with-health-systems-a-key-pillar\/final-who-organigram-who-intranet\/\" data-orig-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/04\/Final-WHO-Organigram-WHO-Intranet-.png?fit=961%2C638&amp;ssl=1\" data-orig-size=\"961,638\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Final WHO Organigram \u2013 WHO Intranet\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;New WHO organizational plan, announced 22 April, reduces 10 divisions at headquarters to just four.  &lt;\/p&gt;&#10;\" data-medium-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/04\/Final-WHO-Organigram-WHO-Intranet-.png?fit=300%2C199&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/04\/Final-WHO-Organigram-WHO-Intranet-.png?fit=640%2C425&amp;ssl=1\" class=\"wp-image-124223 size-full\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2025\/08\/Final-WHO-Organigram-WHO-Intranet-.png\" alt=\"\" width=\"961\" height=\"638\"  \/>New WHO organizational plan, announced 22 April, reduced 10 divisions at headquarters to just four.<\/p>\n<p>At department level, rather than an interactive and iterative process, directors have held the reins, with staff largely only able to react once a new structure, with deep cuts, has been established. In several cases, staff allege that retaliation and personal score-settling taint the process.<\/p>\n<p>Meanwhile a new P7 grade is quietly being created which would offer the same salary scale as D2 directors. That raises questions about whether the reduction in D1- and D2-level directors at headquarters from 76 to 34 <a href=\"https:\/\/healthpolicy-watch.news\/exclusive-who-chief-names-new-team-of-directors-mostly-familiar-faces\/\" rel=\"nofollow noopener\" target=\"_blank\">announced on 1 July will in fact result <\/a>in real budget savings, or if most former directors will merely be embedded into other HQ operations with the same salary as before.\u00a0<\/p>\n<p>On a more positive note, plans are being finalised to move four WHO teams from headquarters to less expensive locations in Lyon, Berlin, Dubai and India, saving jobs and some budget in the process.\u00a0 However, the net initial savings, after relocation costs, remain modest amounting to only about $8.2 million in the coming biennium budget year, according to costs presented to member states last week. That remains a drop in the buck of the gaping $1.7 billion budget hole.\u00a0 \u00a0 \u00a0<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"127540\" data-permalink=\"https:\/\/healthpolicy-watch.news\/whos-low-and-mid-rank-staff-at-risk-in-face-of-pressures-to-preserve-costly-jobs-at-top\/who-activities-to-be-relocated-from-geneva-summary\/\" data-orig-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/WHO-Activities-to-be-relocated-from-Geneva-Summary-.png?fit=673%2C242&amp;ssl=1\" data-orig-size=\"673,242\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;WHO Activities to be relocated from Geneva \u2013 summary.&lt;\/p&gt;&#10;\" data-medium-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/WHO-Activities-to-be-relocated-from-Geneva-Summary-.png?fit=300%2C108&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/WHO-Activities-to-be-relocated-from-Geneva-Summary-.png?fit=640%2C230&amp;ssl=1\" class=\"wp-image-127540 size-full\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2025\/08\/WHO-Activities-to-be-relocated-from-Geneva-Summary-.png\" alt=\"\" width=\"673\" height=\"242\"  \/>WHO Activities to be relocated from Geneva \u2013 summary.<\/p>\n<p>The relocation of 33 Geneva-based staff from health workforce and nursing to Lyon would be the largest savings, at $2.1 million a year, followed by $600,000 in savings from the relocation of 17 staff to Berlin; $700,000 from the relocation of 22 WHO emergencies staff to a logistics hub in Dubai; and $600,000 from relocating\u00a0nine traditional medicines posts to India.<\/p>\n<p>Real costs of top jobs are even higher than previously disclosed<\/p>\n<p>Underlining the challenges, the real costs of positions in Geneva for the years 2026-27 are increasing yet again in comparison to the previous 2024-2025 biennium,\u00a0according to WHO\u2019s official Post Cost Average (PCA) scales, obtained by Health Policy Watch.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"127553\" data-permalink=\"https:\/\/healthpolicy-watch.news\/whos-low-and-mid-rank-staff-at-risk-in-face-of-pressures-to-preserve-costly-jobs-at-top\/pca-2024-25-vs-2025-26-hq\/\" data-orig-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/PCA-2024-25-vs-2025-26-HQ-.png?fit=625%2C538&amp;ssl=1\" data-orig-size=\"625,538\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"PCA 2024-25 vs 2025-26 HQ\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;PCA (Post Cost Averages) in Geneva for the 2024-25 biennium as compared to the 2026-27 biennium.&lt;\/p&gt;&#10;\" data-medium-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/PCA-2024-25-vs-2025-26-HQ-.png?fit=300%2C258&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/PCA-2024-25-vs-2025-26-HQ-.png?fit=625%2C538&amp;ssl=1\" class=\"wp-image-127553\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2025\/08\/PCA-2024-25-vs-2025-26-HQ-.png\" alt=\"\" width=\"500\" height=\"430\"  \/>PCA (Post Cost Averages) in Geneva for the 2024-25 biennium as compared to the 2026-27 biennium.<\/p>\n<p>An analysis of the PCA also largely confirms our previous estimates <a href=\"https:\/\/healthpolicy-watch.news\/exclusive-number-of-who-senior-directors-nearly-doubled-since-2017-costs-approach-100-million\/\" rel=\"nofollow noopener\" target=\"_blank\">of enormous gaps between actual salaries and real costs<\/a>, further revealing that the gap is highest at the top of the salary scale. For instance:\u00a0<\/p>\n<p>The Director-General (UG3) will cost WHO an estimated $799,500 per year in the next biennium, nearly three times his published 2025 gross salary of $293,000 \u2014\u00a0 around 172% more.<br \/>\nDeputy Director-General (UG2) and Assistant Directors-General (UG1) will cost between $530,000 and $500,000 respectively, compared to a published 2025 gross salaries of $235,000 and $213,000 \u2014 or 125\u2013134% more.<br \/>\nA Senior Director (D2) post will cost roughly $450,000 per year, on average, more than double the published 2025 figure of $205,942 \u2013 at the uppermost step on the salary scale \u2013 where many senior staff fall due to their long tenure in service.<br \/>\nA Director (D1) post will cost $410,000 per year, more than double the published salary figure of roughly <a href=\"https:\/\/cdn.who.int\/media\/docs\/default-source\/human-resources\/staff-regulations-and-staff-rules.pdf?sfvrsn=358ad6b1_22&amp;download=true\" target=\"_blank\" rel=\"noopener nofollow\">$193,000 for the uppermost step of the scale.<\/a><br \/>\nEven a senior professional (P5) will cost about $360,000 per year, more than double\u00a0 the published<a href=\"https:\/\/cdn.who.int\/media\/docs\/default-source\/human-resources\/staff-regulations-and-staff-rules.pdf?sfvrsn=358ad6b1_22&amp;download=true\" target=\"_blank\" rel=\"noopener nofollow\"> top step salary of $165,000.<\/a><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"127554\" data-permalink=\"https:\/\/healthpolicy-watch.news\/whos-low-and-mid-rank-staff-at-risk-in-face-of-pressures-to-preserve-costly-jobs-at-top\/who-real-staff-costs-hq-per-annum-for-2026-27-versus-published-2025-salaries\/\" data-orig-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/WHO-Real-Staff-Costs-HQ-per-annum-for-2026-27-versus-published-2025-salaries.jpg?fit=1600%2C793&amp;ssl=1\" data-orig-size=\"1600,793\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"WHO Real Staff Costs (HQ) per annum for 2026-27 versus published 2025 salaries\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;WHO Real Staff Costs (HQ) per annum for 2026-27 versus published 2025 salaries.&lt;\/p&gt;&#10;\" data-medium-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/WHO-Real-Staff-Costs-HQ-per-annum-for-2026-27-versus-published-2025-salaries.jpg?fit=300%2C149&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/WHO-Real-Staff-Costs-HQ-per-annum-for-2026-27-versus-published-2025-salaries.jpg?fit=640%2C318&amp;ssl=1\" class=\"size-large wp-image-127554\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2025\/08\/WHO-Real-Staff-Costs-HQ-per-annum-for-2026-27-versus-published-2025-salaries-1024x508.jpg\" alt=\"\" width=\"640\" height=\"318\"  \/>WHO Real Staff Costs (HQ) per annum for 2026-27 versus published 2025 salaries. Sources:\u00a0 DG-ADGs <a href=\"https:\/\/apps.who.int\/gb\/ebwha\/pdf_files\/EB156\/B156_50Rev1-en.pdf\" target=\"_blank\" rel=\"noopener nofollow\">https:\/\/apps.who.int\/gb\/ebwha\/pdf_files\/EB156\/B156_50Rev1-en.pdf<\/a>.\u00a0 D2-P1: <a href=\"https:\/\/cdn.who.int\/media\/docs\/default-source\/human-resources\/staff-regulations-and-staff-rules.pdf?sfvrsn=358ad6b1_22&amp;download=true\" target=\"_blank\" rel=\"noopener nofollow\">https:\/\/cdn.who.int\/media\/docs\/default-source\/human-resources\/staff-regulations-and-staff-rules.pdf?sfvrsn=358ad6b1_22&amp;download=true<\/a><\/p>\n<p>\u00a0<\/p>\n<p>At the General Service (G2-G7 levels), PCA costs for 2026 are consistently 70-90% more than the last published net base salaries (2024-25 biennium).\u00a0<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"127550\" data-permalink=\"https:\/\/healthpolicy-watch.news\/whos-low-and-mid-rank-staff-at-risk-in-face-of-pressures-to-preserve-costly-jobs-at-top\/gs-salaries-2024-5-2026-7-my-graphic\/\" data-orig-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/GS-salaries-2024-5-2026-7-my-graphic-.png?fit=1016%2C215&amp;ssl=1\" data-orig-size=\"1016,215\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"GS salaries 2024-5 -2026-7 \u2013 my graphic\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;GS salaries: published  2024-5 net base versus PCA for 2026-7. (per annum)&lt;\/p&gt;&#10;\" data-medium-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/GS-salaries-2024-5-2026-7-my-graphic-.png?fit=300%2C63&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/GS-salaries-2024-5-2026-7-my-graphic-.png?fit=640%2C135&amp;ssl=1\" class=\"size-full wp-image-127550\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2025\/08\/GS-salaries-2024-5-2026-7-my-graphic-.png\" alt=\"\" width=\"1016\" height=\"215\"  \/>General Services Staff (GS) salaries: published 2024-5 net base versus PCA for 2026-7. (Biennium)<br \/>\nTransparency gap\u00a0<br \/>\n<img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"125102\" data-permalink=\"https:\/\/healthpolicy-watch.news\/nations-approve-who-membership-fee-increase-as-us-exit-squeezes-budget\/pal_8793\/\" data-orig-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/05\/PAL_8793-scaled.jpg?fit=2560%2C1707&amp;ssl=1\" data-orig-size=\"2560,1707\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;4&quot;,&quot;credit&quot;:&quot;Pierre Albouy&quot;,&quot;camera&quot;:&quot;Canon EOS R3&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1747760824&quot;,&quot;copyright&quot;:&quot;Pierre Albouy&quot;,&quot;focal_length&quot;:&quot;400&quot;,&quot;iso&quot;:&quot;4000&quot;,&quot;shutter_speed&quot;:&quot;0.00625&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"PAL_8793\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;WHO Director-General Dr Tedros Adhanom Ghebreyesus and Raul Thomas, the Assistant Director-General for Business Operations at the World Health Assembly in May, where member states approved a stripped-down $4.2 billion budget for 2026-27 \u2013 for which the agency is still short $1.7 billion in funds. &lt;\/p&gt;&#10;\" data-medium-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/05\/PAL_8793-scaled.jpg?fit=300%2C200&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/05\/PAL_8793-scaled.jpg?fit=640%2C427&amp;ssl=1\" class=\"size-large wp-image-125102\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2025\/08\/PAL_8793-1024x683.jpg\" alt=\"\" width=\"640\" height=\"427\"  \/>WHO Director-General Dr Tedros Adhanom Ghebreyesus and Raul Thomas, the Assistant Director-General for Business Operations at the World Health Assembly in May, where member states approved a stripped-down $4.2 billion base budget for 2026-27. The agency still remains $1.7 billion short.<\/p>\n<p>Based on standard UN\u00a0 <a href=\"https:\/\/unesdoc.unesco.org\/ark:\/48223\/pf0000003205\" target=\"_blank\" rel=\"noopener nofollow\">\u201ccost accounting\u201d<\/a> principles, PCA is a tool used internally for WHO budget and resource allocation. During reorganisation exercises (like the ongoing workforce reduction), PCA is the reference cost used when comparing the financial implications of abolishing, retaining, or adding positions.<\/p>\n<p>The large gap between the PCA and published salaries is due to the many statutory entitlements embedded in UN staff positions, including pension contributions, health insurance, education grants, and other allowances. But the largest element is the locational post adjustment, which for Geneva is <a href=\"https:\/\/healthpolicy-watch.news\/exclusive-number-of-who-senior-directors-nearly-doubled-since-2017-costs-approach-100-million\/\" rel=\"nofollow noopener\" target=\"_blank\">now at 66.7% of the net base salary.<\/a>\u00a0 The PCA thus illustrates the very high budgetary weight of Geneva-based posts, in comparison to posts at regional or country level.\u00a0<\/p>\n<p>For Member States and observers, the gap can create confusion as official salary scales suggest much lower remuneration than what is actually budgeted for in PCA costing. The divergence underscores the importance of clarifying to stakeholders the real budgetary impact of maintaining a post in Geneva.<\/p>\n<p>Health Policy Watch<a href=\"https:\/\/healthpolicy-watch.news\/exclusive-number-of-who-senior-directors-nearly-doubled-since-2017-costs-approach-100-million\/\" rel=\"nofollow noopener\" target=\"_blank\"> and others have flagged this discrepancy<\/a> as critical for understanding WHO\u2019s staff expenditure, especially during times of financial retrenchment and workforce prioritization.\u00a0<\/p>\n<p>Yet WHO still does not publicly disclose the PCA of positions by grade and location with Member States and the public. Last week\u2019s closed door member state briefing did refer to the PCA, perhaps for the first time ever, in estimating the savings from the relocation of teams out of Geneva.\u00a0<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"127545\" data-permalink=\"https:\/\/healthpolicy-watch.news\/whos-low-and-mid-rank-staff-at-risk-in-face-of-pressures-to-preserve-costly-jobs-at-top\/pca-cost-reference-in-who-member-state-briefing\/\" data-orig-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/PCA-cost-reference-in-WHO-Member-State-Briefing.png?fit=597%2C281&amp;ssl=1\" data-orig-size=\"597,281\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"PCA cost reference in WHO Member State Briefing\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Example of PCA cost reference in WHO Member State Briefing, 19 August, with regards to the relocation of  Geneva-based health workforce and nursing teams to Lyon, France.&lt;\/p&gt;&#10;\" data-medium-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/PCA-cost-reference-in-WHO-Member-State-Briefing.png?fit=300%2C141&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/PCA-cost-reference-in-WHO-Member-State-Briefing.png?fit=597%2C281&amp;ssl=1\" class=\"size-full wp-image-127545\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2025\/08\/PCA-cost-reference-in-WHO-Member-State-Briefing.png\" alt=\"\" width=\"597\" height=\"281\"  \/>Example of PCA cost reference in WHO Member State Briefing, 19 August, with regards to the relocation of 33 members of the Geneva-based health workforce and nursing teams to Lyon, France.<\/p>\n<p>The 19 August briefing referred to the PCA cost of positions in Geneva in comparison to that of Lyon, Berlin, Dubai and India, in comparing the final impact of relocating positions.\u00a0 and elsewhere in simulations of relocation options.\u00a0<\/p>\n<p>\u201cThe transparency gap is striking,\u201d said one senior insider. \u201cMember States are asked to approve cuts, but they never see the real cost of retaining top management.\u201d<\/p>\n<p>Asked to comment on why the PCA is still not publicly disclosed in more routine WHO staff, budget reports and documents, a WHO spokesperson said:\u00a0 \u201cPost Cost Averages are estimates and not real costs.\u201d\u00a0<\/p>\n<p>The WHO spokesperson added, \u201cWHO reports to Member States on actual expenditures. But during the consultations with countries to develop WHO\u2019s Programme Budget, extensive information on costings \u2013 including requests for details on how PCAs are developed and used \u2013 has been provided and discussed.\u201d<\/p>\n<p>\u00a0A \u201cTop-Heavy\u201d WHO staff structure emerging in Geneva?<\/p>\n<p>At headquarters, meanwhile, the brunt of the anticipated cuts in staff have yet to hit home. As of August, WHO\u2019s Geneva headcount had been reduced by 192 people over January 2025, according to a member state briefing last week. That\u2019s only one-third of the cuts anticipated by the end of this year, paring down the Geneva-wide staff from 2900 to about 2300 members.\u00a0\u00a0<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"127547\" data-permalink=\"https:\/\/healthpolicy-watch.news\/whos-low-and-mid-rank-staff-at-risk-in-face-of-pressures-to-preserve-costly-jobs-at-top\/tedros-member-state-briefing-headcount-reduction-to-date-august-2025\/\" data-orig-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/Tedros-Member-State-briefing-Headcount-reduction-to-date-August-2025.png?fit=1512%2C806&amp;ssl=1\" data-orig-size=\"1512,806\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Tedros Member State briefing \u2013 Headcount reduction to date August 2025\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;The brunt of cuts in Geneva and elsewhere have yet to be reflected in the WHO staff numbers, down only 192 since January 2025. &lt;\/p&gt;&#10;\" data-medium-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/Tedros-Member-State-briefing-Headcount-reduction-to-date-August-2025.png?fit=300%2C160&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/Tedros-Member-State-briefing-Headcount-reduction-to-date-August-2025.png?fit=640%2C341&amp;ssl=1\" class=\"size-large wp-image-127547\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2025\/08\/Tedros-Member-State-briefing-Headcount-reduction-to-date-August-2025-1024x546.png\" alt=\"\" width=\"640\" height=\"341\"  \/>The brunt of cuts in Geneva and elsewhere have yet to be reflected in the WHO staff numbers, down only 192 since January 2025.\u00a0 As of January, some 9452 staff were employed by WHO worldwide, not including the Americas Region, which has a separate budget.<\/p>\n<p>The member state briefing and other communications so far have provided no breakdown on grades associated with the staff reductions.\u00a0<\/p>\n<p>But WHO\u2019s own <a href=\"https:\/\/open.who.int\/2024-25\/human-resources\/geographical-distribution\/country-staffing-profile-by-grade\" target=\"_blank\" rel=\"noopener nofollow\">online workforce records<\/a> show that, as of July 2025,\u00a0 ten out of 11 former senior management members appeared to still be on the payroll at headquarters. Officially, the Director General\u2019s senior leadership team was slashed <a href=\"https:\/\/healthpolicy-watch.news\/who-director-general-shakes-up-agency-with-brand-new-leadership-team\/\" rel=\"nofollow noopener\" target=\"_blank\">\u00a0to just six in mid-May.<\/a>\u00a0\u00a0<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"127548\" data-permalink=\"https:\/\/healthpolicy-watch.news\/whos-low-and-mid-rank-staff-at-risk-in-face-of-pressures-to-preserve-costly-jobs-at-top\/ugs-as-of-july-2025-9-not-including-rds\/\" data-orig-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/UGs-as-of-July-2025-9-not-including-RDs-.png?fit=1506%2C835&amp;ssl=1\" data-orig-size=\"1506,835\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"UGs as of July 2025 \u2013 9 not including RDs\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Eleven senior managers (DDG-ADG) remained on the payroll in headquarters as of July, 2025; the team was officially reduced to just six member in May. &lt;\/p&gt;&#10;\" data-medium-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/UGs-as-of-July-2025-9-not-including-RDs-.png?fit=300%2C166&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/UGs-as-of-July-2025-9-not-including-RDs-.png?fit=640%2C355&amp;ssl=1\" class=\"size-large wp-image-127548\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2025\/08\/UGs-as-of-July-2025-9-not-including-RDs--1024x568.png\" alt=\"\" width=\"640\" height=\"355\"  \/>Along with 5 regional directors, ten senior managers (DDG-ADG lelvel) remained on the payroll in headquarters as of July, 2025; the team was officially reduced to just six in May.<\/p>\n<p>Meanwhile, 69 D1-D2 directors were on the headquarters\u2019<a href=\"https:\/\/open.who.int\/2024-25\/human-resources\/workforce\" target=\"_blank\" rel=\"noopener nofollow\"> payroll as of end June<\/a>, when a reshuffle was announced to reduce their ranks by nearly half to 36.\u00a0<\/p>\n<p>Most of those who lost positions have either fixed term or continuing WHO contracts, positioning them for re-assignment in Geneva or less costly locations \u2013 and months of compensatory pay if there is no reassignment at all.<\/p>\n<p>Among Professional (P) ranks, meanwhile, the restructuring of departments is nearly complete\u00a0 but the organigrams for new structures have not yet been disclosed and it\u2019s not clear if and when they will be publicly.\u00a0<\/p>\n<p>However, anecdotal reports illustrate how restructuring has produced an even more top-heavy staff structure in some teams, which undermines both the credibility and the sustainability of WHO\u2019s reform agenda.\u00a0\u00a0<\/p>\n<p>One example is the new Department of Data, Digital Health, Analytics and AI. The new department is a merger of WHO\u2019s former <a href=\"https:\/\/www.who.int\/data\/ddi\" target=\"_blank\" rel=\"noopener nofollow\">Division of Data, Analytics and Delivery <\/a>for Impact, and the Department of Digital Health and Innovation (DHI)\u00a0 to create a single entity dealing with the fast-changing digital health space.\u00a0<\/p>\n<p>Diamond-shaped staff structure<br \/>\n<img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"127561\" data-permalink=\"https:\/\/healthpolicy-watch.news\/whos-low-and-mid-rank-staff-at-risk-in-face-of-pressures-to-preserve-costly-jobs-at-top\/dda-organizational-chart-approved-by-dg-tedros\/\" data-orig-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/DDA-Organizational-Chart-Approved-by-DG-Tedros-.png?fit=1250%2C710&amp;ssl=1\" data-orig-size=\"1250,710\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"DDA Organizational Chart \u2013 Approved by DG Tedros\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/DDA-Organizational-Chart-Approved-by-DG-Tedros-.png?fit=300%2C170&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/DDA-Organizational-Chart-Approved-by-DG-Tedros-.png?fit=640%2C364&amp;ssl=1\" class=\"wp-image-127561 size-large\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2025\/08\/DDA-Organizational-Chart-Approved-by-DG-Tedros--1024x582.png\" alt=\"\" width=\"640\" height=\"364\"  \/>New, approved DDA structure creates two more P5 positions than in the previous 3 teams combined, while eliminating 7 P3-P2s.<\/p>\n<p>The approved organigram for DDA reveals a striking anomaly in public-sector workforce design. Traditional organizations are built on a pyramid structure with many junior staff at the base, fewer mid-level professionals, and a handful of senior leaders. In the private sector, cost-cutting would typically mean investing in younger, and less expensive staff.\u00a0 But DDA\u2019s new structure is instead diamond-shaped, including:<\/p>\n<p>Senior professionals (P5): 10 posts;<br \/>\nMid-senior professionals (P4): 21.5 posts;<br \/>\nMid-level professionals (P3): 16 posts;<br \/>\nJunior professionals (P2): 2 posts;<br \/>\nEntry-level professionals (P1): 0 <\/p>\n<p>During the DDA restructuring, 20 long vacant posts were eliminated showing a much larger savings on paper than in reality.\u00a0<\/p>\n<p>However, of the 66 occupied posts, seven P2 and P3s were eliminated along with four G staff roles, while two additional P5 posts and 1.5 P4 positions were created.\u00a0<\/p>\n<p>This actually added to the top-heavy, unbalanced structure, with managers managing managers while the operational staff base collapses.\u00a0<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"127563\" data-permalink=\"https:\/\/healthpolicy-watch.news\/whos-low-and-mid-rank-staff-at-risk-in-face-of-pressures-to-preserve-costly-jobs-at-top\/dda-final-gradewise-analysis-of-posts-changes-and-savings\/\" data-orig-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/DDA-Final-Gradewise-analysis-of-Posts-changes-and-savings-.png?fit=1816%2C452&amp;ssl=1\" data-orig-size=\"1816,452\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;DDA final structure \u2013 Gradewise analysis of posts changes and cost savings.&lt;\/p&gt;&#10;\" data-medium-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/DDA-Final-Gradewise-analysis-of-Posts-changes-and-savings-.png?fit=300%2C75&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/DDA-Final-Gradewise-analysis-of-Posts-changes-and-savings-.png?fit=640%2C159&amp;ssl=1\" class=\"wp-image-127563 size-large\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2025\/08\/DDA-Final-Gradewise-analysis-of-Posts-changes-and-savings--1024x255.png\" alt=\"\" width=\"1024\" height=\"255\"  \/>DDA final structure \u2013 Gradewise analysis of posts changes and cost savings. Only a 1.69% real budget savings with the loss of 11 junior staff and admin, and addition of 3.5 higher level posts.<\/p>\n<p>As one staff member observed wryly: \u201cThis is no pyramid. It\u2019s a diamond \u2013bloated at the top, hollow at the base.\u201d<\/p>\n<p>Minimal net savings\u00a0<\/p>\n<p>The net result is a reduction in actual costs of less than 2% \u2013 or about $275,000 a year, according to a HPW analysis of the PCA for the posts retained for\u00a0 2026\u201327, in comparison to costs for the last biennium.\u00a0 In parallel, a large activity budget, which historically paid for consultants as well as field work in countries, is being sliced by nearly half, according to a July DDA presentation of the new budget alignment, seen by Health Policy Watch.\u00a0\u00a0<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"127565\" data-permalink=\"https:\/\/healthpolicy-watch.news\/whos-low-and-mid-rank-staff-at-risk-in-face-of-pressures-to-preserve-costly-jobs-at-top\/whatsapp-image-2025-08-25-at-22-03-15_20d29277\/\" data-orig-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/WhatsApp-Image-2025-08-25-at-22.03.15_20d29277.jpg?fit=1118%2C749&amp;ssl=1\" data-orig-size=\"1118,749\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"WhatsApp Image 2025-08-25 at 22.03.15_20d29277\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;DDA\u2019s evolution from 2024-25 to 2026-27 in terms of overall budget and staff costs.&lt;\/p&gt;&#10;\" data-medium-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/WhatsApp-Image-2025-08-25-at-22.03.15_20d29277.jpg?fit=300%2C201&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/WhatsApp-Image-2025-08-25-at-22.03.15_20d29277.jpg?fit=640%2C429&amp;ssl=1\" class=\"size-large wp-image-127565\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2025\/08\/WhatsApp-Image-2025-08-25-at-22.03.15_20d29277-1024x686.jpg\" alt=\"\" width=\"640\" height=\"429\"  \/>DDA\u2019s evolution from 2024-25 to 2026-27 in terms of overall budget and staff costs.<\/p>\n<p>Despite reduction in staff positions, there are almost no savings in staff costs. Activity costs, which typically fund consultants and field work, have been pared by nearly half.\u00a0<\/p>\n<p>This asymmetry has fueled perceptions that in some departments, restructuring may be less about strategic prioritization and more about political protection for favored directorates and staff members.<\/p>\n<p>\u201cIt feels like we\u2019re paying for Geneva\u2019s top jobs with our careers,\u201d said one mid-level staffer from another department whose post was abolished. \u201cI was told to train consultants who now replace me, while the director who spent nearly half of his working days traveling last year keeps his role untouched.\u201d\u00a0<\/p>\n<p>Between departments \u2013 a disproportionate burden of cuts\u00a0<br \/>\n<img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"127585\" data-permalink=\"https:\/\/healthpolicy-watch.news\/whos-low-and-mid-rank-staff-at-risk-in-face-of-pressures-to-preserve-costly-jobs-at-top\/whatsapp-image-2025-08-26-at-18-35-50_8306abe4\/\" data-orig-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/WhatsApp-Image-2025-08-26-at-18.35.50_8306abe4.jpg?fit=1600%2C1597&amp;ssl=1\" data-orig-size=\"1600,1597\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"WhatsApp Image 2025-08-26 at 18.35.50_8306abe4\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Indicative comparisons of cuts in staff and budgets by department.&lt;\/p&gt;&#10;\" data-medium-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/WhatsApp-Image-2025-08-26-at-18.35.50_8306abe4.jpg?fit=300%2C300&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/WhatsApp-Image-2025-08-26-at-18.35.50_8306abe4.jpg?fit=640%2C639&amp;ssl=1\" class=\"size-large wp-image-127585\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2025\/08\/WhatsApp-Image-2025-08-26-at-18.35.50_8306abe4-1024x1022.jpg\" alt=\"\" width=\"640\" height=\"639\"  \/>Indicative comparisons of cuts in staff and budgets by department.<\/p>\n<p>The emerging profile of WHO\u2019s budget and workforce reductions also appears to be profoundly uneven between the<a href=\"https:\/\/healthpolicy-watch.news\/exclusive-who-chief-names-new-team-of-directors-mostly-familiar-faces\/\" rel=\"nofollow noopener\" target=\"_blank\"> newly consolidated departments<\/a>.\u00a0<\/p>\n<p>Corporate-heavy units such as Partnerships, Finance and Delivery (PFD), as well as DDA (Division of Data, Digital Health, Analytics and AI) also seem to have faced relatively modest budget or staffing reductions, while frontline divisions with the heaviest mandates have absorbed far deeper cuts. Some examples:\u00a0<\/p>\n<p>ECO (Environment, Climate and Migration) \u2013 created largely from the merger of the former WHO Department of <a href=\"https:\/\/www.who.int\/teams\/environment-climate-change-and-health\/settings-and-populations\" target=\"_blank\" rel=\"noopener nofollow\">Environment, Climate Change and Health<\/a> (ECH) with the <a href=\"https:\/\/www.who.int\/teams\/health-and-migration-programme\/overview#:~:text=Health%20and%20Migration%20Programme&amp;text=The%20Health%20and%20Migration%20Programme,and%20achieve%20universal%20health%20coverage.\" target=\"_blank\" rel=\"noopener nofollow\">Programme on Health and Migration (PHM)<\/a>, and One Health. Despite this expanded portfolio, ECO is seeing its staff cut by around 36%, from 72 to 43 positions as part of a budget reduction from $53 to $34 million. Yet it carries responsibility for climate change, which WHO\u2019s 2025-2028 <a href=\"https:\/\/www.who.int\/about\/general-programme-of-work\/fourteenth\" target=\"_blank\" rel=\"noopener nofollow\">strategic workplan<\/a> frames as the first of six leading strategic priorities, as well as for environmental determinants of health, which represent about 25% of the disease burden.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"127573\" data-permalink=\"https:\/\/healthpolicy-watch.news\/whos-low-and-mid-rank-staff-at-risk-in-face-of-pressures-to-preserve-costly-jobs-at-top\/gpw-strategic-priorities-2025-2028-2\/\" data-orig-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/GPW-Strategic-Priorities-2025-2028-1.png?fit=1162%2C671&amp;ssl=1\" data-orig-size=\"1162,671\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"GPW Strategic Priorities 2025-2028\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Climate change is number 1 of 6 strategic priorites in WHO\u2019s 2025-2028 General Programme of Work  (GPW 14). But that doesn\u2019t translate into budget for Climate activities.  &lt;\/p&gt;&#10;\" data-medium-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/GPW-Strategic-Priorities-2025-2028-1.png?fit=300%2C173&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/GPW-Strategic-Priorities-2025-2028-1.png?fit=640%2C369&amp;ssl=1\" class=\"size-large wp-image-127573\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2025\/08\/GPW-Strategic-Priorities-2025-2028-1-1024x591.png\" alt=\"\" width=\"640\" height=\"369\"  \/>Climate change is number 1 of 6 strategic priorites in WHO\u2019s 2025-2028 General Programme of Work (GPW 14). But that doesn\u2019t translate into budget for Climate activities.<\/p>\n<p>HTH (Health Threats: HIV, TB, Hepatitis and STIs) \u2013 staff are being reduced by around 29%, from about 102 positions in 2024-25 to 73. Although the cuts could harm WHO\u2019s ability to respond to epidemic-prone diseases, the fact the new department incorporates several previously large teams to begin with, provides some cushion against the expected shock. As with DDA, the emerging structure is dominated by P5 and P4 posts, with Unit heads potentially earmarked for P6 professionals (equivalent to a D1, Director\u2019s rank).\u00a0<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"127594\" data-permalink=\"https:\/\/healthpolicy-watch.news\/whos-low-and-mid-rank-staff-at-risk-in-face-of-pressures-to-preserve-costly-jobs-at-top\/hiv-tb-organigram-2\/\" data-orig-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/HIV-TB-organigram-1-1-e1756238272165.png?fit=1160%2C635&amp;ssl=1\" data-orig-size=\"1160,635\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"HIV TB organigram\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Draft organigram of the newly merged HIV\/TB\/STIs department, as of 21 July, is dominated by  senior staff positions. &lt;\/p&gt;&#10;\" data-medium-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/HIV-TB-organigram-1-1-e1756238272165.png?fit=300%2C164&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/HIV-TB-organigram-1-1-e1756238272165.png?fit=640%2C351&amp;ssl=1\" class=\"wp-image-127594 size-large\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2025\/08\/HIV-TB-organigram-1-1-e1756238272165-1024x561.png\" alt=\"\" width=\"1024\" height=\"561\"  \/>Draft organigram of the newly merged HIV\/TB\/Hepatitis and STIs department, as of 21 July, dominated by senior staff posts.<\/p>\n<p>PFD (Partnerships, Finance and Delivery) \u2013 is cut by around 22%, reducing WHO\u2019s ability to engage externally and sustain resource mobilization.<br \/>\nDDA (Division of Data, Digital Health, Analytics and AI) \u2013 While 20 vacant positions were eliminated, actual staff were reduced by only 14% and staff budget declined by less than 2%, leaving the department\u00a0 relatively protected despite being a primarily corporate entity.<\/p>\n<p>While each department has been given a budget envelope representing the proportion of money that it has to cut, those proportions have not been disclosed. This means that departments with outsize political power or weight may retain staff \u2013 while other weaker teams do not.<\/p>\n<p>Case studies of retaliation and score-settling<\/p>\n<p>Despite WHO\u2019s claims that the workforce review was a fair and transparent process, many staff describe a very different reality. Across departments, they recount an exercise dominated not by evidence or dialogue, but by unchecked directorial power.<\/p>\n<p>\u201cThe directors were gods \u2013 and now they are super-gods. The consultation was an absolute farce,\u201d said one staff member. \u201cThey promised a blind HR process. It absolutely was not.\u201d<\/p>\n<p>Multiple accounts suggest that the downsizing became a vehicle for retaliation and score-settling. Staff who had raised concerns about governance, accountability, or excessive spending were disproportionately targeted.<\/p>\n<p>In one team, for instance, a mid-level professional who had complained about allegedly exorbitant travel spending by senior managers saw their post abolished.<\/p>\n<p>Records seen by Health Policy Watch reveal that the director of that team, now head of a powerful new department, was on mission for over 200 days in 2023 and 2024 \u2013 wracking up more than $200,000 in travel costs in those two years alone.\u00a0<\/p>\n<p>Another staff member in the same team generated a travel bill of more than $20,000 for a single US\u2013Riyadh round trip, despite being officially based in Geneva, according to the travel records, seen by Health Policy Watch.<\/p>\n<p>In other departments, technical experts with years of institutional knowledge were released, replaced by consultants hand-picked by senior managers.\u00a0<\/p>\n<p>In sother cases, individuals with pending allegations of funds mismanagement, harassment, or abuse of authority were retained while whistleblowers and dissenting voices were shown the door.<\/p>\n<p>These accounts deepen staff fears that WHO\u2019s restructuring is less about efficiency than about entrenching power, silencing critics, and shielding those at the top, leaving the organization more vulnerable to politicization, reputational damage, and future scandals.<\/p>\n<p>The net result tends to reinforce observations like those in the anonymous <a href=\"https:\/\/x.com\/pass_blue\/status\/1954899921913381271\" rel=\"nofollow\">WHO staff X post, which stated<\/a>:\u00a0\u00a0\u00a0<\/p>\n<p>\u201cThis restructuring has also created opportunities for certain senior managers to consolidate power. By absorbing entire teams, retaining as many high-grade posts as possible under their authority, and eliminating lower-cost positions, they expand their influence while reducing diversity of voices. In some cases, positions have been reclassified or renamed to allow individuals to move into higher roles, while their previous posts are formally abolished, on paper, a cut; in reality, a promotion.<\/p>\n<p>\u201dNew \u2018P7\u2019 category quietly emerging<br \/>\n<img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"127571\" data-permalink=\"https:\/\/healthpolicy-watch.news\/whos-low-and-mid-rank-staff-at-risk-in-face-of-pressures-to-preserve-costly-jobs-at-top\/d1-d2-only-hq-2025-vs-december-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/D1-D2-only-HQ-2025-vs.-December-2024.png?fit=1539%2C645&amp;ssl=1\" data-orig-size=\"1539,645\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"D1-D2 only HQ- 2025 \u2013 vs. December 2024\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;As of June, just after there were 69 D1 and D2 directors at Headquarters \u2013 two weeks after the cutback to just 36 such managerial posts.  &lt;\/p&gt;&#10;\" data-medium-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/D1-D2-only-HQ-2025-vs.-December-2024.png?fit=300%2C126&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/D1-D2-only-HQ-2025-vs.-December-2024.png?fit=640%2C268&amp;ssl=1\" class=\"wp-image-127571 size-large\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2025\/08\/D1-D2-only-HQ-2025-vs.-December-2024-1024x429.png\" alt=\"\" width=\"1024\" height=\"429\"  \/>As of June, there were 69 D1 and D2 directors at Headquarters \u2013 two weeks after the cutback to just 36 such managerial posts.<\/p>\n<p>The PCA data also reveal the quiet emergence of a new P7 grade\u2014with costs equivalent to a D2 post, a parallel arrangement to the longstanding P6, which has an equivalent pay grade of a D1.\u00a0<\/p>\n<p>As of June, there were 69 D1 and D2 directors at Headquarters \u2013 two weeks after the announced <a href=\"https:\/\/healthpolicy-watch.news\/exclusive-who-chief-names-new-team-of-directors-mostly-familiar-faces\/\" target=\"_blank\" rel=\"noopener nofollow\">cutback to just 34 such managerial posts<\/a>. But there were another 46 P6 professionals on the payroll in Geneva,\u00a0 a pay grade equivalent to a D1.\u00a0<\/p>\n<p>Now, observers suspect that the inclusion of a P7 into the paygrade system is designed to facilitate the evental reassignment of former senior directors (D2s) into high-paying roles without formally calling them \u201cdirectors,\u201d thus sidestepping political scrutiny.\u00a0<\/p>\n<p>\u201cThis is institutional engineering to protect elites while cutting staff at the base,\u201d one staff association representative commented.<\/p>\n<p>In previous years, WHO had floated the idea of a P7 scale as a mirror of the World Bank model \u2013 allowing senior professionals to rise on the salary scale without having to become managers, \u201cwhich is a different skill,\u201d as one HR expert observed.\u00a0<\/p>\n<p>\u201cBut this was never implemented, and what\u2019s happening now is something else entirely.\u00a0<\/p>\n<p>\u201cFormer ADGs and Directors removed from managerial posts are being re-planted elsewhere in the organization as P7s shielded from scrutiny, their costs untouched, while the axe falls on junior staff.\u201d<\/p>\n<p>WHO says process has been driven by organizational priorities\u00a0<br \/>\n<img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"127575\" data-permalink=\"https:\/\/healthpolicy-watch.news\/whos-low-and-mid-rank-staff-at-risk-in-face-of-pressures-to-preserve-costly-jobs-at-top\/who-staff-member-in-the-south-east-asia-region-makes-a-field-visit-to-a-household\/\" data-orig-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/WHO-staff-member-in-the-South-East-Asia-Region-makes-a-field-visit-to-a-household.jpeg?fit=800%2C533&amp;ssl=1\" data-orig-size=\"800,533\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;WHO staff member in the South East Asia Region makes a field visit to a Rohinga refugee household in Cox Bazaar,  Bangladesh, which houses several hundred refugees from Myanmar. &lt;\/p&gt;&#10;\" data-medium-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/WHO-staff-member-in-the-South-East-Asia-Region-makes-a-field-visit-to-a-household.jpeg?fit=300%2C200&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/WHO-staff-member-in-the-South-East-Asia-Region-makes-a-field-visit-to-a-household.jpeg?fit=640%2C426&amp;ssl=1\" class=\"size-full wp-image-127575\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2025\/08\/WHO-staff-member-in-the-South-East-Asia-Region-makes-a-field-visit-to-a-household.jpeg\" alt=\"\" width=\"800\" height=\"533\"  \/>WHO staff member in the South East Asia Region makes a field visit to a Rohinga refugee household in Cox Bazaar, Bangladesh; preserving WHO\u2019s core activities and relevance at country level is a challenge in the restructuring at the Geneva headquarters.<\/p>\n<p>In response to multiple inquiries by Health Policy Watch, WHO spokespeople urged patience \u2013 until the restructuring is complete before drawing conclusions.\u00a0\u00a0<\/p>\n<p>Departmental restructuring plans have largely been completed, but some have yet to be reviewed by an Ad Hoc Review Committee (ARC) followed by Director General\u2019s approval. In the case of staff positions abolished, staff still have the opportunity to be \u201cmatched and mapped\u201d elsewhere.\u00a0<\/p>\n<p>\u201cWHO structures are still being finalized. Structures and mapping \/ matching of staff are ongoing and shape and grades of the new organizational structure will be shared based on facts, once the organizational\u00a0 structure is final and staff have been informed,\u201d a WHO spokesperson told Health Policy Watch. .<\/p>\n<p>The spokesperson rejected allegations that staff members have been excluded, or organizational priorities have not been closely followed in the department reductions, saying:\u00a0<\/p>\n<p>\u201cThe prioritization process has (i) shaped the Programme budget; (ii) informed the budget envelopes of ADGs (divisional budget envelopes) and is also (iii) driving directors\u2019 decisions on their respective departmental organigrams.<\/p>\n<p>The prioritization process has been thoroughly discussed with Member States during the Programme budget development process.<\/p>\n<p>The spokesperson pointed to Box 2 on Page 16 of the Programme budget 2026-2027 for a summary of what will be safeguarded and sunset:<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"127572\" data-permalink=\"https:\/\/healthpolicy-watch.news\/whos-low-and-mid-rank-staff-at-risk-in-face-of-pressures-to-preserve-costly-jobs-at-top\/who-strategic-priorities-2026-2027-budget-plan-2\/\" data-orig-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/WHO-Strategic-Priorities-2026-2027-budget-plan-1.png?fit=1280%2C1193&amp;ssl=1\" data-orig-size=\"1280,1193\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"WHO Strategic Priorities \u2013 2026-2027 budget plan\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;WHO Strategic Priorities \u2013 2026-2027 budget plan.&lt;\/p&gt;&#10;\" data-medium-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/WHO-Strategic-Priorities-2026-2027-budget-plan-1.png?fit=300%2C280&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/WHO-Strategic-Priorities-2026-2027-budget-plan-1.png?fit=640%2C596&amp;ssl=1\" class=\"size-large wp-image-127572\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2025\/08\/WHO-Strategic-Priorities-2026-2027-budget-plan-1-1024x954.png\" alt=\"\" width=\"640\" height=\"596\"  \/>WHO Strategic Priorities \u2013 2026-2027 budget plan.<\/p>\n<p>But the spokesperson did not give any explanation as to why some, politically weaker or poorer departments, representing major strategic priorities such as climate change, are still getting cut more heavily than others, saying only that:\u00a0<\/p>\n<p>\u201cAll departments will have a reduced budget with variations based on the output of the prioritization.\u201d\u00a0<\/p>\n<p>The spokesperson also affirmed that member states were informed along every step of the way in briefings such as last Tuesday\u2019s event.\u00a0 Although that briefing still provided more details about the process than about the content of the reorganization \u2013 with a placeholder of XX for the estimated count of staff layoffs, both in headquarters as well as in regions.\u00a0\u00a0<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"127544\" data-permalink=\"https:\/\/healthpolicy-watch.news\/whos-low-and-mid-rank-staff-at-risk-in-face-of-pressures-to-preserve-costly-jobs-at-top\/major-office-dashboard-hq-2\/\" data-orig-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/Major-Office-Dashboard-HQ-.png?fit=1511%2C801&amp;ssl=1\" data-orig-size=\"1511,801\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Major Office Dashboard \u2013 HQ\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Whether at headquarters or in regions, there\u2019s only a placeholder XX, in the most critical box, headcount number for 2026 \u2013 in the presentation of slides to member states on Tuesday, 19 August.\u00a0&lt;\/p&gt;&#10;\" data-medium-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/Major-Office-Dashboard-HQ-.png?fit=300%2C159&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/healthpolicy-watch.news\/wp-content\/uploads\/2025\/08\/Major-Office-Dashboard-HQ-.png?fit=640%2C339&amp;ssl=1\" class=\"wp-image-127544 size-large\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2025\/08\/Major-Office-Dashboard-HQ--1024x543.png\" alt=\"\" width=\"1024\" height=\"543\"  \/>Whether at headquarters or in regions, there\u2019s only a placeholder XX, in the most critical box, headcount number for 2026 \u2013 in the presentation of slides to member states on Tuesday, 19 August.<br \/>\nNo space for next generation<\/p>\n<p>Perhaps most worrying, is the looming risk that WHO\u2019s new structure will leave little future at the agency for early career\u00a0 professionals.\u00a0<\/p>\n<p>Cuts that have disproportionately eliminated not only temporary P1\u2013P3 staff \u2013 but also fixed term junior positions \u2013 effectively slam the door on entry into the organization, let alone advancement.<\/p>\n<p>\u201cThis is a death blow for young people who want to serve in global health,\u201d one insider warned. \u201cWHO is becoming a gated community of senior managers and consultants.\u201d<\/p>\n<p>\u201cThis is not just a question of staff ratios or technical restructuring\u2014it is a question of WHO\u2019s very identity at a time of existential crisis. Will the organization become an exclusive club of entrenched elites, protected through opaque salary engineering and endless travel budgets, while the next generation is pushed out? Or will it restore fairness, transparency, and a true pyramid of opportunity?<\/p>\n<p>\u201cAt stake is not only WHO\u2019s reputation but also the legacy of the Director-General himself. Staff across the Organization are asking whether he will allow this course to stand\u2014or whether he will seize the moment to correct it before it is too late.\u201d<\/p>\n<p class=\"image-credits\">Image Credits: <a href=\"\" target=\"_blank\">You Tube \/ Baku TV<\/a>, <a href=\"\" target=\"_blank\">YouTube\/Baku TV<\/a>, <a href=\"https:\/\/x.com\/WHO\/status\/1925082839160160402\" target=\"_blank\" rel=\"nofollow\">WHO\/X<\/a>, <a href=\"\" target=\"_blank\">WHO<\/a>, <a href=\"\" target=\"_blank\">WHO\/Member state briefing 19 August<\/a>, <a href=\"\" target=\"_blank\">WHO <\/a>, <a href=\"\" target=\"_blank\">WHO, Member State briefing, 19 August 2025<\/a>, <a href=\"\" target=\"_blank\">WHO, Member State briefing 19 August 2025<\/a>, <a href=\"https:\/\/open.who.int\/2024-25\/human-resources\/geographical-distribution\/country-staffing-profile-by-grade\" target=\"_blank\" rel=\"noopener nofollow\">WHO HR Dashboard<\/a>, <a href=\"\" target=\"_blank\">HPW\/based on WHO GSM data. <\/a>, <a href=\"\" target=\"_blank\">HPW analysis based on WHO Global System of Management data <\/a>, <a href=\"https:\/\/www.who.int\/about\/general-programme-of-work\/fourteenth\" target=\"_blank\" rel=\"noopener nofollow\">WHO General Programme of Work  2025-28<\/a>, <a href=\"https:\/\/www.linkedin.com\/company\/world-health-organization-south-east-asia\/posts\/?feedView=all\" target=\"_blank\" rel=\"noopener nofollow\">WHO\/SEARO LinkedIn <\/a>, <a href=\"\" target=\"_blank\">WHO, 2026-2027 budget<\/a>.<\/p>\n<p style=\"font-size:0.9rem; text-align:center\">Combat the infodemic in health information and support health policy reporting from the global South.  Our  growing network of journalists in Africa, Asia, Geneva and New York connect the dots between regional realities and the big global debates, with evidence-based, open access news and analysis. To make a personal or organisational contribution click here on PayPal.<\/p>\n","protected":false},"excerpt":{"rendered":"Geneva\u2019s UN Workers protest pending job cuts in May; WHO is the largest UN agency employer in the&hellip;\n","protected":false},"author":2,"featured_media":120879,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[59],"tags":[97,252,253],"class_list":["post-120878","post","type-post","status-publish","format-standard","has-post-thumbnail","category-health-care","tag-health","tag-health-care","tag-healthcare"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/120878","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/comments?post=120878"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/120878\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media\/120879"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media?parent=120878"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/categories?post=120878"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/tags?post=120878"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}