154th SESSION OF THE EXECUTIVE COMMITTEE Washington, D.C., USA, June 2014

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154th SESSION OF THE EXECUTIVE COMMITTEE Washington, D.C., USA, 16-20 June 2014 Provisional Agenda Item 5.7 CE154/26 28 April 2014 Original: English MASTER CAPITAL INVESTMENT PLAN Periodic Report on the Implementation of the Master Capital Investment Plan Introduction 1. This document summarizes the activities and projects of the Master Capital Investment Plan (MCIP) that were completed during the 2012-2013 biennium and those proposed for 2014-2015 that may be funded by the Master Capital Investment Fund (MCIF) and by the PAHO Holding Account. Master Capital Investment Plan 2. The MCIP reflects increasing efforts by the Pan American Health Organization (PAHO) to systematically maintain and improve the building infrastructure, equipment, and information technology at its installations throughout the Region. In an effort to improve transparency and show the coordination between related MCIP activities and projects that are funded by the MCIF and the Holding Account, the Pan American Sanitary Bureau (PASB) has included references to MCIF and Holding Account activities and projects in this document and in the attached annexes. 3. The Holding Account was created as a result of excess budget availability from the 2006-2007 biennium. One-time, major infrastructure projects in the administrative and technical areas were authorized by the 48th Directing Council in Resolution CD48.R1 (2008). These included the creation of the Emergency Operations Center/Knowledge Center, repairs to the roof of the Washington, D.C., Headquarters building, and the plaza drain repair project at Headquarters. Specific descriptions of Holding Account projects are found in Document CE146/27 (2010). Details on the MCIF are outlined below. 4. It is recognized that in an environment of limited resources and with a functional area that does not attract external financial support, prioritization of limited available resources is essential. To facilitate this prioritization, a condition assessment to provide a comprehensive assessment of real estate liabilities of all facilities owned by the

CE154/26 Pan American Health Organization is planned in 2014. This assessment will be used to revise and update the MCIP. Replenishment of the Master Capital Investment Fund for the 2014-2015 Biennium 5. In accordance with Resolution CSP27.R19 (2007), the Director is required to notify the Executive Committee of any funds transferred to the MCIF from excess income over expenditure in the Regular Budget. For the 2012-2013 biennium, there were no surplus funds available from the Regular Budget to transfer to the MCIF. The Master Capital Investment Fund Reserve was established under Resolution CSP28.R17 (2012) to provide a safeguard in this circumstance. The Reserve has a balance of US$ 6,000,000. 1 The resolution permits a drawdown of $2,000,000 to provide working capital for the 2014-2015 budget period. 6. At the time of writing, the unallotted balance of the Real Estate Maintenance and Improvement Subfund is $526,061 the unallotted balance of the Information Technology Subfund is $0 the unallotted balance of the Vehicle Replacement Subfund is $296,622; and the unallotted balance of the Revolving Strategic Real Estate Subfund is $0. Real Estate Maintenance and Improvement Subfund Projects at Headquarters in 2012-2013 7. Full rehabilitation of the four 1965-era elevators in the Washington, D.C. Headquarters building was undertaken in 2013. In January 2013, roof repairs on the main Headquarters building were completed to address damage caused by the August 2011 earthquake that affected Washington, D.C. A major rehabilitation of the two 250-ton chiller units at Headquarters that began in December 2012 was also completed in January 2013. Major repairs were completed on the four heating coils in the Headquarters building boilers. 8. The MCIF was also utilized in 2012 to purchase audiovisual equipment, including several large display monitors, a wireless microphone system, video conferencing equipment, and other electronic equipment, within the Holding Account funded Emergency Operations Center/Knowledge Center (EOC/KC) project. Projects at PAHO/WHO Representative (PWR) Offices in 2012 2013 9. A total of $2,000,000 was provided in 2012-2013 to PWRs 2 for a variety of premises-related works, including support to the ongoing project of rebuilding the earthquake-damaged PWR Haiti office and the acquisition of new premises for PWR Guatemala. Refer to Annex A for a list of projects and their status. 1 Unless otherwise indicated, all monetary figures in this report are expressed in United States dollars. 2 Informally referred to as country offices. 2

CE154/26 Projects Planned at Headquarters in 2014 10. To facilitate this prioritization, a comprehensive survey and condition assessment of the Washington, D.C. Headquarters building and the PAHO-owned PWR facilities is envisaged in 2014, using $500,000 provided by the World Health Organization Real Estate Fund. 11. Given the limited funds available, the proposed real estate and buildings projects planned for 2014-2015 will be reviewed by the Project Infrastructure Investment Committee, which was created by the then-director of PAHO in September 2009 to analyze MCIP projects in both subfunds. The Committee also issues recommendations as to their feasibility and priority. The distribution of projects approved for the monetary balance of the 2014-2015 biennium will depend upon the results of the planned condition assessment surveys and available funding. 12. Notwithstanding the results of the survey and condition assessment, which may highlight other necessary work, several long-standing issues relating to the Washington, D.C. Headquarters will be addressed in 2014. These include the heating, ventilation, and air conditioning systems on the second and tenth floors, as well the basement sanitary installations. Projects at PWRs in 2014 13. Although the results of the survey and condition assessment may highlight other necessary works, urgent and long-standing issues previously identified in PWR offices will be addressed in 2014. They include electrical wiring repairs and upgrades in PWR Argentina; installation of an emergency generator and fire prevention infrastructure in PWR Barbados; renovation of office space and plumbing and electrical repairs in PWR Cuba; air conditioning upgrades and electrical repairs in PWRs Dominican Republic, El Salvador, Guyana, and Peru; and exterior repairs and car park renovation in PWR Jamaica. Vehicle Replacement Subfund 14. The Vehicle Replacement Subfund was created pursuant to Resolution CSP28.R17 (2012). In 2012-2013 a total of $106,396 was credited to the Subfund from the sale of obsolete vehicles. This income was utilized for the purchase of new vehicles in Belize, Ecuador, El Salvador, Mexico, Nicaragua and Peru. Revolving Strategic Real Estate Subfund 15. The Revolving Strategic Real Estate Subfund was created pursuant to Resolution CSP28.R17 (2012). In 2012-2013 a total of $1,000,000 was credited to the Subfund from the surplus resulting from the implementation of the International Public Sector Accounting Standards (IPSAS). In 2013 these funds were allocated to PWR Guatemala for the acquisition of new premises. 3

CE154/26 Information Technology Subfund Projects at Headquarters and PWRs in 2012-2013 16. A total of $1,340,948 was allocated in 2013 to various MCIF information technology (IT) operations requirements, including desktop computers and peripherals, hosting infrastructure, software, and information security. 17. Expenditures during the final year of the 2012-2013 (Annex C) biennium included support at both Headquarters and PWRs in the following areas: a) software licenses; b) replacement and/or upgrade of network and infrastructure to include servers and storage devices; c) information security, backup devices, and storage of PWR institutional knowledge; and d) replacement of desktops, notebooks, and peripherals, including printers and scanners, as necessary. Projects for 2014-2021 18. The projects planned for 2014-2021 (Annex C) will include: a) software licenses; b) network infrastructure; c) information security; d) replacement of desktops, notebooks, and peripherals, including printers and scanners, as necessary; e) network infrastructure requirements as a result of connectivity upgrades to support the PASB Management Information System (PMIS); and f) automation of administrative processes not included in the PMIS. Action by the Executive Committee 19. The Executive Committee is invited to take note of this report and offer any recommendations it may have. Annexes 4

CE154/26 ANNEX A Annex A Master Capital Investment Fund Real Estate Maintenance and Improvements Subfund Projects Completed in 2012-2013 Location Description Planned Disbursed (US$) (US$) Implemented Rehabilitation of four elevators 959,500 834,475 90% Consultant on elevator project 40,000 11,750 78% Audiovisual support for EOC Project 225,000 185,877 100% Construction costs for EOC 13,547 13,547 100% Architectural/engineering costs for EOC 19,607 19,607 100% Consultant on a better HVAC distribution and computer server layout in Computer Room 14,500 14,900 100% Installation of cables and printer in Computer Room 17,481 17,481 100% Rehabilitation of two 250-ton chillers 89,500 89,500 100% Earthquake-related repairs to the roof area of HQ building 34,625 39,625 100% Basement Bathroom Project 75,000 0 0% Consultant appraisal to convert the third-floor cafeteria into locker rooms 20,000 15,156 100% Replacement of steam coils, $38,000; EOC HVAC system works, $10,116; replacement of control boards and panels, $32,200; main HVAC, $27,428 107,744 70,542 65% Apogee HVAC Panel 3 and 4 upgrade 38,400 0 0% PWR Argentina PWR Barbados Replacement of outdated wiring and installation of new lighting system Replacement of emergency generator, roof straps, and fire sensors 15,000 0 0% 64,700 0 0% PWR Bolivia Relocation of PWR Office 81,128 81,128 100% PWR Bolivia Relocation of PWR Office 19,907 19,907 100% PWR Colombia Relocation of PWR Office 200,000 191,612 96% PWR Costa Rica Window replacement 73,106 73,106 100% PWR Cuba Renovation/repairs in main office building and auxiliary building 25,000 1,124 4% PWR Dominican Republic Replacement of AC equipment and ducting 70,000 0 0% PWR El Salvador Replacement of AC equipment 47,500 8,452 18% PWR Guatemala Relocation of PWR Office 1,028,000 1,000,000 97% PWR Guyana Replacement of AC compressors and ducting; security upgrades and interior space rehabilitation 22,200 7,452 34% PWR Haiti Reconstruction of PWR Office 150,000 0 0% PWR Jamaica Relocation of PWR Office 22,376 22,376 100% PWR Jamaica Repaving of parking lot, exterior repainting, and window blind replacement 17,000 5,314 31% PWR Nicaragua HVAC, electrical, and other infrastructure rehabilitation of auditorium 77,598 0 0% PWR Panama Condition assessment - Building 265 Gorgas Hospital complex 60,000 60,000 100% PWR Peru Interior renovation; electrical upgrade to auditorium and cafeteria 35,000 0 0% TOTAL 3,663,419 2,782,930

CE154/26 ANNEX B Annex B 2012-2013 Expenditures for GSO Projects Funded by the Holding Account Regional Location PAHO/WHO Representative Offices Project Emergency Operations Center (EOC) and Knowledge Center (KC) (Holding Account Project 1.A): initial funding source Minimum Operating Security Standards (MOSS) upgrades and security measures (Holding Account Project 4.A) energy-saving measures (Holding Account Project 4.B) plaza drainage system repairs (Holding Account Project 4.C) security and sanitary measures (Holding Account Project 4.D) Headquarters office tower roof repairs (Holding Account Project 4.E) renovation of Headquarters building and annexes (Holding Account Project 4.F): initial funding source 2012 2013 Final Expenditures (US$) 1,319,712 47,144 0 371,500 32,714 0 443,043

CE154/26 ANNEX C Annex C Projected Costs for Projects in the Information Technology Subfund (as of December 2013, in US$) Project 2012-2013 2014-2015 2016-2017 2018-2019 2020-2021 Total 2012-2021 Desktops and laptops 200,000 250,000 250,000 250,000 250,000 1,200,000 Other peripherals, including printers Servers and hosting infrastructure 169,685 250,000 250,000 250,000 250,000 1,169,685 450,000 1,200,000 1,400,000 1,200,000 1,000,000 5,250,000 Information security 110,000 230,000 250,000 280,000 280,000 1,150,000 Telephone system 400,000 200,000 200,000 200,000 250,000 1,250,000 Network infrastructure 700,000 400,000 200,000 400,000 300,000 2,000,000 Software 1,800,000 1,125,000 1,125,000 1,125,000 1,125,000 6,300,000 Totals 3,829,685 3,655,000 3,675,000 3,705,000 3,455,000 18,319,685 Note: The fast pace of change in the field of information technology may necessitate revision of this annex in future years.

CE154/26 ANNEX D Annex D 2014-2015 Expenditures for Information Technology Subfund Projects Funded by the Holding Account (US$) Project Amount Approved 2014-2015 Allotted Planned Expenditures 2.C: Strengthening communications through improved PWR connectivity 2,000,000 394,000 3.B: Modernization of service model for the delivery of information technology and knowledge management and services 1,500,000* 260,000 * $300,000 allotted to the Department of Knowledge Management and Communication (KMC). - - -