At the first session of the Meeting of the Parties (MOP) a President and five Vice Presidents were elected from among the representatives of the Parties present at the session. Each of the WHO regions shall be represented by one Bureau Member. The Bureau of the MOP will remain in office until the closure of the second session of the MOP, to be held in 2020. (Rule 21 of the Rules of Procedure of the MOP). Currently, Ecuador from the Region of the Americas holds the Presidency of the MOP.

As well as a Bureau, the MOP also elected regional coordinators (Rule 24quater of the Rules of Procedure of the MOP), each representing their respective WHO region. Regional coordinators shall be allowed to observe the meetings of the Bureau and perform the following functions:
• liaise with the officer of the Bureau representing the region and facilitate consultations with the Parties in the region between the sessions of the Meeting of the Parties with a view to informing the work of the Bureau and keeping Parties informed of the Bureau’s work;

• receive working documents or proposals of the bureau and ensure that they are circulated to the Parties in the region;
• collect and send comments on such documents or proposals to the officer of the Bureau; and
• act as a channel for the exchange of information, including a copy of invitations to the meetings for the implementation of the Protocol, and coordination of activities with other regional coordinators.

• Brazil, representing the Region of the Americas
• Iraq, representing the Eastern Mediterranean Region
• Mongolia, representing the Western Pacific Region
• India, representing the South-East Asia Region
• Norway, representing the Region of Europe
• Gabon, representing the African Region

According to the Rules of Procedure of the MOP, the regional coordinators shall be allowed to observe the meetings of the Bureau and perform the following functions:

• liaise with the officer of the Bureau representing the region and facilitate consultations with the Parties in the region between the sessions of the Meeting of the Parties with a view to informing the work of the Bureau and keeping Parties informed of the Bureau’s work;
• receive working documents or proposals of the bureau and ensure that they are circulated to the Parties in the region;
• collect and send comments on such documents or proposals to the officer of the Bureau; and
• act as a channel for the exchange of information, including a copy of invitations to the meetings for the implementation of the Protocol, and coordination of activities with other regional coordinators.