EOB 2024-2025
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Highlighted achievements
Health service delivery optimized through strategic purchasing and care integration
During the 2024–2025 biennium, PAHO supported Barbados in strengthening health system performance by advancing service delivery optimization and evidence-informed decision-making. Through direct technical cooperation, PAHO facilitated the application of a global tool that enabled the systematic mapping of services across levels of care. This process identified gaps, inefficiencies, and opportunities for better integration within the national health system, providing the Ministry of Health and Wellness with actionable evidence to guide service organization and purchasing decisions.
Medicines regulation and access to quality health technologies strengthened
PAHO played a key role in strengthening Barbados’ regulatory and institutional capacity to improve access to safe, effective, and quality medicines and health technologies.
Mental health integration within primary health care advanced
In the area of noncommunicable diseases and mental health, PAHO supported Barbados in strengthening governance, service capacity, and the integration of mental health into primary health care.
Progress toward elimination of mother-to-child transmission of HIV and syphilis accelerated
PAHO supported Barbados in making progress under the Disease Elimination Initiative by strengthening capacities for integrated surveillance and validation processes related to the elimination of mother-to-child transmission of HIV and syphilis. During the biennium, Barbados implemented targeted surveillance actions, adapted elimination tools to the small-island context, and finalized elimination dossiers with PAHO technical support. These outputs reinforced national capacities for monitoring, quality assurance, and evidence generation, positioning the country to sustain gains in maternal and child health.
Preparedness and response to health emergencies enhanced
PAHO contributed to strengthening Barbados’ preparedness and response capacities for health emergencies by providing targeted technical assistance in surveillance, laboratory readiness, and coordination mechanisms. Support included the digitalization of syndromic and event-based surveillance and the strengthening of laboratory capacities, enhancing early-warning and rapid-response functions. These efforts were complemented by regional investments in training and coordination under multicountry initiatives, reinforcing Barbados’ ability to respond to all-hazards emergencies within a subregional framework.
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Outcome Indicators
| Outcome Indicator | Baseline/Target | Rating |
|---|---|---|
| 01.b. Number of countries and territories that have implemented strategies to strengthen the response capacity of the first level of care | Target 2025 | Partially achieved |
| 02.e. Number of countries and territories with capacity to implement and monitor national policies or strategies to improve the health and development of young children that are informed by the WHO/UNICEF framework Nurturing Care for Early Childhood Development | Target 2025 | Achieved |
| 02.f. Number of countries and territories developing, implementing, and monitoring policies or strategies with an integrated approach to address men’s health | Baseline 2019 | Achieved |
| 03.a. Number of countries and territories with capacity to prevent care dependence | Target 2025 | Partially achieved |
| 08.a. Number of countries that ensure that products listed on the essential medicine list are available without out-of-pocket expenditure at the point of care | Target 2025 | Discrepancy |
| 08.c. Number of countries that increase the number of units of blood available for transfusion per thousand inhabitants (UBAT) by at least 5% per year to reach the target of 30 UBAT | Target 2025 | Not achieved |
| 09.a. Number of countries and territories that have achieved, by 2025, a reduction of at least 10 percentage points in the population reporting access barriers to health services, as compared to 2020 | Target 2025 | Not achieved |
| 09.b. Number of countries and territories that have reached at least 60% of their capacity to implement the essential public health functions | Target 2025 | Discrepancy |
| 11.a. Number of countries and territories that have decreased by 20% the percentage of population in households experiencing out-of-pocket catastrophic health spending | Target 2025 | Partially achieved |
| 11.b. Number of countries and territories that have decreased by 10% the percentage of people in households experiencing impoverishment due to out-of-pocket health expenditure | Target 2025 | Not achieved |
| Outcome Indicator | Baseline/Target | Rating |
|---|---|---|
| 04.c. Number of countries and territories with at least 95% coverage of syphilis treatment in pregnant women | Target 2025 | Partially achieved |
| 04.j. Number of countries and territories that have incorporated HPV vaccines in their national vaccination program | Baseline 2019 | Achieved |
| 12.c. Number of countries and territories with increased antimicrobial resistance (AMR) surveillance capacity to guide the public health interventions for decreasing the risk and preventing the spread of multidrug-resistant infections through intersectoral action | Baseline 2019 | Achieved |
| 17.a. Number of countries and territories that achieve 90% of viral suppression (viral load <1,000 copies/ml) in persons on antiretroviral therapy (ART) | Target 2025 | Achieved |
| 17.b. Number of countries and territories with >80% of malaria cases investigated and classified in areas targeted for elimination or prevention of reestablishment | Baseline 2019 | Achieved |
| 17.c [c]. Interruption of transmission of neglected infectious diseases (NID) in countries, following WHO criteria and guidelines [Dog-mediated human rabies] | Baseline 2019 | Achieved |
| 17.d. Number of countries and territories with established capacity and effective processes to eliminate human rabies transmitted by dogs | Baseline 2019 | Achieved |
| Outcome Indicator | Baseline/Target | Rating |
|---|---|---|
| 05.a. Number of countries and territories that achieve the 2025 global NCD target to halt the rise in diabetes assessed by age-standardized prevalence of raised blood glucose/diabetes among adults aged 18+ years | Baseline 2019 | Discrepancy |
| 05.b. Number of countries and territories that reach a target of 35% prevalence of controlled hypertension at population level (<140/90mmHg) among persons with hypertension 18+ years of age | Target 2025 | Partially achieved |
| 05.e. Number of countries and territories whose surveillance systems have the capacity to report on key indicators of the Global Monitoring Framework for Noncommunicable Diseases | Baseline 2019 | Achieved |
| 13.d. Number of countries and territories that have eliminated industrially produced trans fatty acids | Target 2025 | Partially achieved |
| 15.a. Number of countries and territories with an operational advisory committee or lead agency on road safety that supports the development and/or implementation of a national road safety strategy | Baseline 2019 | Achieved |
| Outcome Indicator | Baseline/Target | Rating |
|---|---|---|
| 18.g. Number of countries and territories with capacity to address health in chemical safety (including human health exposure to metals and/or pesticides) | Target 2025 | Achieved |
| 18.h. Number of countries and territories with capacity to address the health-related effects of climate change | Baseline 2019 | Achieved |
| 19.a. Number of countries and territories that implement the Health in All Policies framework to improve health equity as well as health and well-being | Baseline 2019 | Achieved |
| Outcome Indicator | Baseline/Target | Rating |
|---|---|---|
| 21.b. Number of countries and territories that generate, analyze, and use data and information according to health priorities, disaggregated by geopolitical and demographic strata, as appropriate to the national context | Target 2025 | Achieved |
| Outcome Indicator | Baseline/Target | Rating |
|---|---|---|
| 23.a. Number of countries and territories that meet or exceed minimum capacities to manage public health risks associated with emergencies | Baseline 2019 | Partially achieved |
| 23.b. Number of States Parties meeting and sustaining International Health Regulations (IHR) requirements for core capacities | Target 2025 | Partially achieved |
| 24.a. Number of countries and territories with installed capacity to effectively respond to major epidemics and pandemics | Target 2025 | Achieved |
| Outcome Indicator | Baseline/Target | Rating |
|---|---|---|
| 27.a. Proportion of countries and territories where the national health authority reports satisfaction with PAHO/WHO’s leading role on global and regional health issues | Target 2025 | Achieved |
| 27.b. Number of countries and territories for which there is alignment between the national health policy, strategy, or plan and the outcomes defined in the PAHO Strategic Plan 2020-2025 | Target 2025 | Achieved |
1. Access to comprehensive and quality health services
Health systems, services, and life course
01.b. Number of countries and territories that have implemented strategies to strengthen the response capacity of the first level of care
01.b. Number of countries and territories that have implemented strategies to strengthen the response capacity of the first level of care
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
2. Health throughout the life course
Health systems, services, and life course
02.e. Number of countries and territories with capacity to implement and monitor national policies or strategies to improve the health and development of young children that are informed by the WHO/UNICEF framework Nurturing Care for Early Childhood
02.e. Number of countries and territories with capacity to implement and monitor national policies or strategies to improve the health and development of young children that are informed by the WHO/UNICEF framework Nurturing Care for Early Childhood Development
Target Value:
2025
Baseline value:
2019
Rating:
Achieved
Health systems, services, and life course
02.f. Number of countries and territories developing, implementing, and monitoring policies or strategies with an integrated approach to address men's health
02.f. Number of countries and territories developing, implementing, and monitoring policies or strategies with an integrated approach to address men’s health
Target Value:
2025
Baseline value:
2019
Rating:
Not achieved
3. Quality care for older people
Health systems, services, and life course
03.a. Number of countries and territories with capacity to prevent care dependence
03.a. Number of countries and territories with capacity to prevent care dependence
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
4. Response capacity for communicable diseases
Communicable diseases
04.c. Number of countries and territories with at least 95% coverage of syphilis treatment in pregnant women
04.c. Number of countries and territories with at least 95% coverage of syphilis treatment in pregnant women
Target Value:
2025
Baseline value:
2019
Rating:
Not achieved
Communicable diseases
04.j. Number of countries and territories that have incorporated HPV vaccines in their national vaccination program
04.j. Number of countries and territories that have incorporated HPV vaccines in their national vaccination program
Target Value:
2025
Baseline value:
2019
Rating:
Achieved
5. Access to services for NCDs and mental health conditions
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
05.a. Number of countries and territories that achieve the 2025 global NCD target to halt the rise in diabetes assessed by age-standardized prevalence of raised blood glucose/diabetes among adults aged 18+ years
05.a. Number of countries and territories that achieve the 2025 global NCD target to halt the rise in diabetes assessed by age-standardized prevalence of raised blood glucose/diabetes among adults aged 18+ years
Target Value:
2025
Baseline value:
2019
Rating:
Not achieved
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
05.b. Number of countries and territories that reach a target of 35% prevalence of controlled hypertension at population level (<140/90mmHg) among persons with hypertension 18+ years of age
05.b. Number of countries and territories that reach a target of 35% prevalence of controlled hypertension at population level (<140/90mmHg) among persons with hypertension 18+ years of age
Target Value:
2025
Baseline value:
2019
Rating:
Not achieved
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
05.e. Number of countries and territories whose surveillance systems have the capacity to report on key indicators of the Global Monitoring Framework for Noncommunicable Diseases
05.e. Number of countries and territories whose surveillance systems have the capacity to report on key indicators of the Global Monitoring Framework for Noncommunicable Diseases
Target Value:
2025
Baseline value:
2019
Rating:
Not achieved
8. Access to health technologies
Health systems, services, and life course
08.a. Number of countries that ensure that products listed on the essential medicine list are available without out-of-pocket expenditure at the point of care
08.a. Number of countries that ensure that products listed on the essential medicine list are available without out-of-pocket expenditure at the point of care
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
Health systems, services, and life course
08.c. Number of countries that increase the number of units of blood available for transfusion per thousand inhabitants (UBAT) by at least 5% per year to reach the target of 30 UBAT
08.c. Number of countries that increase the number of units of blood available for transfusion per thousand inhabitants (UBAT) by at least 5% per year to reach the target of 30 UBAT
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
9. Strengthened stewardship and governance
Health systems, services, and life course
09.a. Number of countries and territories that have achieved, by 2025, a reduction of at least 10 percentage points in the population reporting access barriers to health services, as compared to 2020
09.a. Number of countries and territories that have achieved, by 2025, a reduction of at least 10 percentage points in the population reporting access barriers to health services, as compared to 2020
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
Health systems, services, and life course
09.b. Number of countries and territories that have reached at least 60% of their capacity to implement the essential public health functions
09.b. Number of countries and territories that have reached at least 60% of their capacity to implement the essential public health functions
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
11. Strengthened financial protection
Health systems, services, and life course
11.a. Number of countries and territories that have decreased by 20% the percentage of population in households experiencing out-of-pocket catastrophic health spending
11.a. Number of countries and territories that have decreased by 20% the percentage of population in households experiencing out-of-pocket catastrophic health spending
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
Health systems, services, and life course
11.b. Number of countries and territories that have decreased by 10% the percentage of people in households experiencing impoverishment due to out-of-pocket health expenditure
11.b. Number of countries and territories that have decreased by 10% the percentage of people in households experiencing impoverishment due to out-of-pocket health expenditure
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
12. Risk factors for communicable diseases
Communicable diseases
12.c. Number of countries and territories with increased antimicrobial resistance (AMR) surveillance capacity to guide the public health interventions for decreasing the risk and preventing the spread of multidrug-resistant infections through
12.c. Number of countries and territories with increased antimicrobial resistance (AMR) surveillance capacity to guide the public health interventions for decreasing the risk and preventing the spread of multidrug-resistant infections through intersectoral action
Target Value:
2025
Baseline value:
2019
Rating:
Not achieved
13. Risk factors for noncommunicable diseases
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
13.d. Number of countries and territories that have eliminated industrially produced trans fatty acids
13.d. Number of countries and territories that have eliminated industrially produced trans fatty acids
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
15. Intersectoral response to violence and injuries
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
15.a. Number of countries and territories with an operational advisory committee or lead agency on road safety that supports the development and/or implementation of a national road safety strategy
15.a. Number of countries and territories with an operational advisory committee or lead agency on road safety that supports the development and/or implementation of a national road safety strategy
Target Value:
2025
Baseline value:
2019
Rating:
Achieved
17. Elimination of communicable diseases
Communicable diseases
17.a. Number of countries and territories that achieve 90% of viral suppression (viral load <1,000 copies/ml) in persons on antiretroviral therapy (ART)
17.a. Number of countries and territories that achieve 90% of viral suppression (viral load <1,000 copies/ml) in persons on antiretroviral therapy (ART)
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
Communicable diseases
17.b. Number of countries and territories with >80% of malaria cases investigated and classified in areas targeted for elimination or prevention of reestablishment
17.b. Number of countries and territories with >80% of malaria cases investigated and classified in areas targeted for elimination or prevention of reestablishment
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
Communicable diseases
17.c [c]. Interruption of transmission of neglected infectious diseases (NID) in countries, following WHO criteria and guidelines [Dog-mediated human rabies]
17.c [c]. Interruption of transmission of neglected infectious diseases (NID) in countries, following WHO criteria and guidelines [Dog-mediated human rabies]
Target Value:
2025
Baseline value:
2019
Rating:
Not achieved
Communicable diseases
17.d. Number of countries and territories with established capacity and effective processes to eliminate human rabies transmitted by dogs
17.d. Number of countries and territories with established capacity and effective processes to eliminate human rabies transmitted by dogs
Target Value:
2025
Baseline value:
2019
Rating:
Not achieved
18. Social and environmental determinants
Determinants of health and cross-cutting themes
18.g. Number of countries and territories with capacity to address health in chemical safety (including human health exposure to metals and/or pesticides)
18.g. Number of countries and territories with capacity to address health in chemical safety (including human health exposure to metals and/or pesticides)
Target Value:
2025
Baseline value:
2019
Rating:
Achieved
Determinants of health and cross-cutting themes
18.h. Number of countries and territories with capacity to address the health-related effects of climate change
18.h. Number of countries and territories with capacity to address the health-related effects of climate change
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
19. Health promotion and intersectoral action
Determinants of health and cross-cutting themes
19.a. Number of countries and territories that implement the Health in All Policies framework to improve health equity as well as health and well-being
19.a. Number of countries and territories that implement the Health in All Policies framework to improve health equity as well as health and well-being
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
21. Data, information, knowledge, and evidence
Information systems, evidence, and research
21.b. Number of countries and territories that generate, analyze, and use data and information according to health priorities, disaggregated by geopolitical and demographic strata, as appropriate to the national context
21.b. Number of countries and territories that generate, analyze, and use data and information according to health priorities, disaggregated by geopolitical and demographic strata, as appropriate to the national context
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
23. Health emergencies preparedness and risk reduction
Health emergencies
23.a. Number of countries and territories that meet or exceed minimum capacities to manage public health risks associated with emergencies
23.a. Number of countries and territories that meet or exceed minimum capacities to manage public health risks associated with emergencies
Target Value:
2025
Baseline value:
2019
Rating:
Not achieved
Health emergencies
23.b. Number of States Parties meeting and sustaining International Health Regulations (IHR) requirements for core capacities
23.b. Number of States Parties meeting and sustaining International Health Regulations (IHR) requirements for core capacities
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
24. Epidemic and pandemic prevention and control
Health emergencies
24.a. Number of countries and territories with installed capacity to effectively respond to major epidemics and pandemics
24.a. Number of countries and territories with installed capacity to effectively respond to major epidemics and pandemics
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
27. Leadership and governance
Leadership, governance, and enabling functions
27.a. Proportion of countries and territories where the national health authority reports satisfaction with PAHO/WHO's leading role on global and regional health issues
27.a. Proportion of countries and territories where the national health authority reports satisfaction with PAHO/WHO’s leading role on global and regional health issues
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
Leadership, governance, and enabling functions
27.b. Number of countries and territories for which there is alignment between the national health policy, strategy, or plan and the outcomes defined in the PAHO Strategic Plan 2020-2025
27.b. Number of countries and territories for which there is alignment between the national health policy, strategy, or plan and the outcomes defined in the PAHO Strategic Plan 2020-2025
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
Output Indicators
| Output (OPT) Indicator | Baseline/Target | Rating |
|---|---|---|
| 01.1.a. Number of countries and territories with frameworks in place for integrated health service delivery networks (IHSDN) to improve the resolution capacity of the first level of care and integrate priority programs, including NCDs and the elimination agenda | Target 2025 | Partially achieved |
| 02.2.f. Number of countries and territories developing specific and integrated interventions and/or actions at primary care and/or community level focused on optimizing the health and well-being of men | Baseline 2023 | Achieved |
| 03.1.a. Number of countries and territories that implement comprehensive assessments of older persons at the first level of care | Target 2025 | Achieved |
| 07.1.a. Number of countries and territories that are implementing a national policy on human resources for health | Target 2025 | Partially achieved |
| 07.3.a. Number of countries and territories enabled to strengthen health workforce competencies and capacity-building programs through the Virtual Campus for Public Health and other WHO platforms | Target 2025 | Not achieved |
| 08.1.a. Number of countries and territories with updated national policies and/or strategies on access, quality, and use of medicines and other health technologies | Target 2025 | Partially achieved |
| 08.2.a. Number of countries and territories that have established an institutional development plan to improve regulatory capacity for health products based on the assessment of their national regulatory capacities by the Global Benchmarking Tool | Target 2025 | Achieved |
| 10.1.a. Number of countries and territories implementing equitable health financing strategies and reforms to sustain progress toward universal health, including specific strategies to progressively increase public expenditure in health in a sustainable manner | Target 2025 | Not achieved |
| Output (OPT) Indicator | Baseline/Target | Rating |
|---|---|---|
| 04.1.a. Number of countries and territories implementing national norms, standards, and tools aligned with PAHO and WHO guidelines on TB, HIV, STIs, and VH, with emphasis on key and vulnerable populations | Target 2025 | Discrepancy |
| 04.5.a. Number of countries and territories with DPT3 immunization coverage of at least 95% that are implementing strategies to reach unvaccinated and under-vaccinated populations | Target 2025 | Achieved |
| 12.1.a. Number of countries and territories that have campaigns on antimicrobial resistance and rational use aimed at the general public and at professional sectors | Baseline 2023 | Achieved |
| 12.2.a. Number of countries and territories with active programs to control antimicrobial resistance through scaling up of infection prevention and control and provision of water, sanitation, and hygiene in health facilities | Baseline 2023 | Achieved |
| 12.3.a. Number of countries and territories with an established multisectoral coordinating mechanism to oversee national strategies to combat antimicrobial resistance | Baseline 2023 | Achieved |
| 12.4.a. Number of countries and territories that annually provide laboratory-based data on antimicrobial resistance | Baseline 2023 | Partially achieved |
| 17.5.a. Number of countries and territories that have maintained their status as free from both wild poliovirus and circulating vaccine-derived poliovirus | Baseline 2023 | Achieved |
| Output (OPT) Indicator | Baseline/Target | Rating |
|---|---|---|
| 05.1.a. Number of countries and territories that are implementing evidence-based national guidelines/protocols/standards for the management of NCDs (i.e. cardiovascular disease, cancer, diabetes, and chronic respiratory disease) | Baseline 2023 | Achieved |
| 05.2.b. Number of countries and territories with implementation plans for population-based surveys developed with direct support from PASB | Target 2025 | Discrepancy |
| 13.1.b. Number of countries and territories implementing a national policy or strategy on physical activity | Baseline 2023 | Discrepancy |
| 13.1.e. Number of countries and territories covered by best-practice policies to eliminate industrially produced trans-fatty acids in the food supply | Target 2025 | Partially achieved |
| 14.1.a. Number of countries and territories that are implementing national policies consistent with the WHO Global Targets 2025 for maternal, infant, and young child nutrition and the nutrition components of the Sustainable Development Goals | Baseline 2023 | Discrepancy |
| 16.1.a. Number of countries and territories implementing policies and legislative frameworks to promote and improve mental health in line with global human rights instruments | Target 2025 | Partially achieved |
| Output (OPT) Indicator | Baseline/Target | Rating |
|---|---|---|
| 18.2.a. Number of countries and territories implementing water and sanitation safety plans, policies, programs, and/or interventions to reduce health risks associated with water quality and unsanitary conditions, following WHO guidelines | Target 2025 | Achieved |
| 18.2.d. Number of countries and territories implementing plans, policies, programs, and/or interventions to reduce health risks associated with hazardous chemical exposures, following the WHO Chemicals Road Map, the Minamata Convention, and other chemical-related policies and programs | Target 2025 | Achieved |
| 18.2.e. Number of countries and territories implementing plans, policies, programs, and/or interventions to prepare health systems and reduce health risks associated with climate change | Target 2025 | Achieved |
| 19.4.a. Number of countries and territories implementing a national health promotion policy | Baseline 2023 | Achieved |
| Output (OPT) Indicator | Baseline/Target | Rating |
|---|---|---|
| 20.1.a. Number of countries and territories that have developed and implemented a plan to strengthen information systems for health based on PAHO’s IS4H maturity assessment model | Target 2025 | Discrepancy |
| 20.3.a. Number of countries and territories implementing digital health strategies or roadmaps, aligned with the regional policy and global strategy | Target 2025 | Partially achieved |
| Output (OPT) Indicator | Baseline/Target | Rating |
|---|---|---|
| 23.2.a. Number of States Parties with national action plans developed for strengthening International Health Regulations (2005) core capacities | Target 2025 | Not achieved |
| 23.2.b. Number of countries and territories with full-time staff assigned to health emergencies | Baseline 2023 | Partially achieved |
| 23.3.a. Number of States Parties that have conducted simulation exercises or after-action review | Target 2025 | Discrepancy |
| 23.4.a. Number of countries and territories that include safe hospital criteria in the planning, design, construction, and operation of health services | Baseline 2023 | Partially achieved |
| 23.5.a. Number of countries and territories that include criteria for disaster mitigation and climate change adaptation in the planning, design, construction, and operation of health services | Baseline 2023 | Achieved |
| 24.2.a. Number of countries and territories with strategies and/or plans in place to detect and respond to high-threat and emerging pathogens, including emerging zoonotic pathogens | Baseline 2023 | Achieved |
| 24.3.c. Number of countries and territories with operational integrated surveillance systems and pandemic preparedness plans for respiratory viruses, including influenza and COVID-19 | Baseline 2023 | Achieved |
| Output (OPT) Indicator | Baseline/Target | Rating |
|---|---|---|
| 27.1.a. Number of countries and territories with a current Country Cooperation Strategy | Baseline 2023 | Achieved |
1.1 Policy options, tools, and technical guidance provided to countries to enhance equitable, people-centered, integrated service delivery, including public health services
Health systems, services, and life course
01.1.a. Number of countries and territories with frameworks in place for integrated health service delivery networks (IHSDN) to improve the resolution capacity of the first level of care and integrate priority programs
01.1.a. Number of countries and territories with frameworks in place for integrated health service delivery networks (IHSDN) to improve the resolution capacity of the first level of care and integrate priority programs, including NCDs and the elimination agenda
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
2.2 Countries and territories enabled to expand access and coverage for women, men, children, and adolescents with quality comprehensive health services that are people-, family-, and community-centered
Health systems, services, and life course
02.2.f. Number of countries and territories developing specific and integrated interventions and/or actions at primary care and/or community level focused on optimizing the health and well-being of men
02.2.f. Number of countries and territories developing specific and integrated interventions and/or actions at primary care and/or community level focused on optimizing the health and well-being of men
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
3.1 Countries and territories enabled to deliver integrated people-centered services across the continuum of care that respond to the needs of older persons
Health systems, services, and life course
03.1.a. Number of countries and territories that implement comprehensive assessments of older persons at the first level of care
03.1.a. Number of countries and territories that implement comprehensive assessments of older persons at the first level of care
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
4.1 National health systems enabled to deliver and expand coverage of key quality services and interventions for HIV, sexually transmitted infections (STIs), tuberculosis (TB), and viral hepatitis (VH), through sustainable policies, up-to-date normative guidance and tools, and generation and use of strategic information
Communicable diseases
04.1.a. Number of countries and territories implementing national norms, standards, and tools aligned with PAHO and WHO guidelines on TB, HIV, STIs, and VH, with emphasis on key and vulnerable populations
04.1.a. Number of countries and territories implementing national norms, standards, and tools aligned with PAHO and WHO guidelines on TB, HIV, STIs, and VH, with emphasis on key and vulnerable populations
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
4.5 Implementation and monitoring of the new Immunization Action Plan for the Americas aligned with the new global immunization plan to reach unvaccinated and under-vaccinated populations
Communicable diseases
04.5.a. Number of countries and territories with DPT3 immunization coverage of at least 95% that are implementing strategies to reach unvaccinated and under-vaccinated populations
04.5.a. Number of countries and territories with DPT3 immunization coverage of at least 95% that are implementing strategies to reach unvaccinated and under-vaccinated populations
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
5.1 Countries and territories enabled to provide quality, people-centered health services for noncommunicable diseases, based on primary health care strategies and comprehensive essential service packages
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
05.1.a. Number of countries and territories that are implementing evidence-based national guidelines/protocols/standards for the management of NCDs (i.e. cardiovascular disease, cancer, diabetes, and chronic
05.1.a. Number of countries and territories that are implementing evidence-based national guidelines/protocols/standards for the management of NCDs (i.e. cardiovascular disease, cancer, diabetes, and chronic respiratory disease)
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
5.2 Countries and territories enabled to strengthen noncommunicable disease surveillance systems to monitor and report on the global and regional NCD commitments
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
05.2.b. Number of countries and territories with implementation plans for population-based surveys developed with direct support from PASB
05.2.b. Number of countries and territories with implementation plans for population-based surveys developed with direct support from PASB
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
7.1 Countries and territories have formalized and initiated implementation of a national policy on human resources for health
Health systems, services, and life course
07.1.a. Number of countries and territories that are implementing a national policy on human resources for health
07.1.a. Number of countries and territories that are implementing a national policy on human resources for health
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
7.3 Countries and territories have strengthened capacities of the health workforce through continuing education programs and lifelong learning
Health systems, services, and life course
07.3.a. Number of countries and territories enabled to strengthen health workforce competencies and capacity-building programs through the Virtual Campus for Public Health and other WHO platforms
07.3.a. Number of countries and territories enabled to strengthen health workforce competencies and capacity-building programs through the Virtual Campus for Public Health and other WHO platforms
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
8.1 Countries and territories enabled to develop/update, implement, monitor, and evaluate national policies and regulations for timely and equitable access to medicines and other health technologies
Health systems, services, and life course
08.1.a. Number of countries and territories with updated national policies and/or strategies on access, quality, and use of medicines and other health technologies
08.1.a. Number of countries and territories with updated national policies and/or strategies on access, quality, and use of medicines and other health technologies
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
8.2 Countries and territories enabled to strengthen their national regulatory capacity for medicines and health products
Health systems, services, and life course
08.2.a. Number of countries and territories that have established an institutional development plan to improve regulatory capacity for health products based on the assessment of their national regulatory capacities
08.2.a. Number of countries and territories that have established an institutional development plan to improve regulatory capacity for health products based on the assessment of their national regulatory capacities by the Global Benchmarking Tool
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
10.1 Countries and territories enabled to develop and implement financial strategies for universal access to health and universal health coverage
Health systems, services, and life course
10.1.a. Number of countries and territories implementing equitable health financing strategies and reforms to sustain progress toward universal health, including specific strategies to progressively increase public
10.1.a. Number of countries and territories implementing equitable health financing strategies and reforms to sustain progress toward universal health, including specific strategies to progressively increase public expenditure in health in a sustainable manner
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
12.1 Countries and territories enabled to improve awareness and understanding of antimicrobial resistance (AMR) through effective communication, education, and training toward behavior change
Communicable diseases
12.1.a. Number of countries and territories that have campaigns on antimicrobial resistance and rational use aimed at the general public and at professional sectors
12.1.a. Number of countries and territories that have campaigns on antimicrobial resistance and rational use aimed at the general public and at professional sectors
Baseline value
2023
Target Value
2025
Rating:
Achieved
12.2 Countries and territories enabled to strengthen capacity on standard setting and policy implementation to reduce the incidence of multidrug-resistant infections through effective sanitation, hygiene, infection prevention measures, and antimicrobial stewardship programs
Communicable diseases
12.2.a. Number of countries and territories with active programs to control antimicrobial resistance through scaling up of infection prevention and control and provision of water, sanitation, and hygiene in health
12.2.a. Number of countries and territories with active programs to control antimicrobial resistance through scaling up of infection prevention and control and provision of water, sanitation, and hygiene in health facilities
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
12.3 Political commitment attained for sustained and effective coordination under a One Health approach at the national and regional levels to combat antimicrobial resistance in support of the Sustainable Development Goals
Communicable diseases
12.3.a. Number of countries and territories with an established multisectoral coordinating mechanism to oversee national strategies to combat antimicrobial resistance
12.3.a. Number of countries and territories with an established multisectoral coordinating mechanism to oversee national strategies to combat antimicrobial resistance
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
12.4 Countries and territories enabled to develop and implement integrated surveillance systems and research to strengthen the knowledge and evidence base on antimicrobial resistance
Communicable diseases
12.4.a. Number of countries and territories that annually provide laboratory-based data on antimicrobial resistance
12.4.a. Number of countries and territories that annually provide laboratory-based data on antimicrobial resistance
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
13.1 Countries and territories enabled to develop and implement technical packages to address risk factors through multisectoral action, with adequate safeguards in place to prevent potential conflict of interests
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
13.1.b. Number of countries and territories implementing a national policy or strategy on physical activity
13.1.b. Number of countries and territories implementing a national policy or strategy on physical activity
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
13.1.e. Number of countries and territories covered by best-practice policies to eliminate industrially produced trans-fatty acids in the food supply
13.1.e. Number of countries and territories covered by best-practice policies to eliminate industrially produced trans-fatty acids in the food supply
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
14.1 Countries and territories enabled to develop and monitor implementation of policies and plans to tackle malnutrition in all its forms and to achieve the global nutrition targets for 2025 and the nutrition components of the Sustainable Development Goals
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
14.1.a. Number of countries and territories that are implementing national policies consistent with the WHO Global Targets 2025 for maternal, infant, and young child nutrition and the nutrition components of the Sustainable
14.1.a. Number of countries and territories that are implementing national policies consistent with the WHO Global Targets 2025 for maternal, infant, and young child nutrition and the nutrition components of the Sustainable Development Goals
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
16.1 Countries and territories enabled to strengthen multisectoral policies and legislation for mental health in line with PAHO/WHO policies
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
16.1.a. Number of countries and territories implementing policies and legislative frameworks to promote and improve mental health in line with global human rights instruments
16.1.a. Number of countries and territories implementing policies and legislative frameworks to promote and improve mental health in line with global human rights instruments
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
17.5 The Region of the Americas maintained free of poliomyelitis
Communicable diseases
17.5.a. Number of countries and territories that have maintained their status as free from both wild poliovirus and circulating vaccine-derived poliovirus
17.5.a. Number of countries and territories that have maintained their status as free from both wild poliovirus and circulating vaccine-derived poliovirus
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
18.2 Countries and territories enabled to reduce health risks associated with climate change, air pollution, hazardous waste and chemicals, and water and sanitation
Determinants of health and cross-cutting themes
18.2.a. Number of countries and territories implementing water and sanitation safety plans, policies, programs, and/or interventions to reduce health risks associated with water quality and unsanitary conditions, following
18.2.a. Number of countries and territories implementing water and sanitation safety plans, policies, programs, and/or interventions to reduce health risks associated with water quality and unsanitary conditions, following WHO guidelines
Baseline value
2023
Target Value
2025
Rating:
Achieved
Determinants of health and cross-cutting themes
18.2.d. Number of countries and territories implementing plans, policies, programs, and/or interventions to reduce health risks associated with hazardous chemical exposures, following the WHO Chemicals Road Map
18.2.d. Number of countries and territories implementing plans, policies, programs, and/or interventions to reduce health risks associated with hazardous chemical exposures, following the WHO Chemicals Road Map, the Minamata Convention, and other chemical-related policies and programs
Baseline value
2023
Target Value
2025
Rating:
Achieved
Determinants of health and cross-cutting themes
18.2.e. Number of countries and territories implementing plans, policies, programs, and/or interventions to prepare health systems and reduce health risks associated with climate change
18.2.e. Number of countries and territories implementing plans, policies, programs, and/or interventions to prepare health systems and reduce health risks associated with climate change
Baseline value
2023
Target Value
2025
Rating:
Achieved
19.4 Countries and territories enabled to apply health promotion in a systematic way within and outside the health sector
Determinants of health and cross-cutting themes
19.4.a. Number of countries and territories implementing a national health promotion policy
19.4.a. Number of countries and territories implementing a national health promotion policy
Baseline value
2023
Target Value
2025
Rating:
Not achieved
20.1 Countries and territories enabled to develop and implement national plans for strengthening information systems for health (IS4H) that are based on assessments
Information systems, evidence, and research
20.1.a. Number of countries and territories that have developed and implemented a plan to strengthen information systems for health based on PAHO’s IS4H maturity assessment model
20.1.a. Number of countries and territories that have developed and implemented a plan to strengthen information systems for health based on PAHO’s IS4H maturity assessment model
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
20.3 Countries and territories enabled to adopt and implement digital health strategies
Information systems, evidence, and research
20.3.a. Number of countries and territories implementing digital health strategies or roadmaps, aligned with the regional policy and global strategy
20.3.a. Number of countries and territories implementing digital health strategies or roadmaps, aligned with the regional policy and global strategy
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
23.2 Countries and territories enabled to strengthen capacities for emergency preparedness
Health emergencies
23.2.a. Number of States Parties with national action plans developed for strengthening International Health Regulations (2005) core capacities
23.2.a. Number of States Parties with national action plans developed for strengthening International Health Regulations (2005) core capacities
Baseline value
2023
Target Value
2025
Rating:
Not achieved
Health emergencies
23.2.b. Number of countries and territories with full-time staff assigned to health emergencies
23.2.b. Number of countries and territories with full-time staff assigned to health emergencies
Baseline value
2023
Target Value
2025
Rating:
Not achieved
23.3 Countries and territories operationally ready to assess and manage identified risks and vulnerabilities
Health emergencies
23.3.a. Number of States Parties that have conducted simulation exercises or after-action review
23.3.a. Number of States Parties that have conducted simulation exercises or after-action review
Baseline value
2023
Target Value
2025
Rating:
Not achieved
23.4 Countries and territories enabled to improve the safety and security of integrated health services networks
Health emergencies
23.4.a. Number of countries and territories that include safe hospital criteria in the planning, design, construction, and operation of health services
23.4.a. Number of countries and territories that include safe hospital criteria in the planning, design, construction, and operation of health services
Baseline value
2023
Target Value
2025
Rating:
Not achieved
23.5 Countries and territories enabled to implement the most feasible climate-smart and safety standards in selected health facilities to improve their resilience and reduce their impact on the environment
Health emergencies
23.5.a. Number of countries and territories that include criteria for disaster mitigation and climate change adaptation in the planning, design, construction, and operation of health services
23.5.a. Number of countries and territories that include criteria for disaster mitigation and climate change adaptation in the planning, design, construction, and operation of health services
Baseline value
2023
Target Value
2025
Rating:
Not achieved
24.2 Proven prevention strategies for priority pandemic/epidemic-prone diseases implemented at scale
Health emergencies
24.2.a. Number of countries and territories with strategies and/or plans in place to detect and respond to high-threat and emerging pathogens, including emerging zoonotic pathogens
24.2.a. Number of countries and territories with strategies and/or plans in place to detect and respond to high-threat and emerging pathogens, including emerging zoonotic pathogens
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
24.3 Countries and territories enabled to mitigate the risk and consequences of the emergence/reemergence of high-threat infectious pathogens, including emerging zoonotic pathogens, and to improve pandemic preparedness
Health emergencies
24.3.c. Number of countries and territories with operational integrated surveillance systems and pandemic preparedness plans for respiratory viruses, including influenza and COVID-19
24.3.c. Number of countries and territories with operational integrated surveillance systems and pandemic preparedness plans for respiratory viruses, including influenza and COVID-19
Baseline value
2023
Target Value
2025
Rating:
Not achieved
27.1 Leadership, governance, and external relations enhanced to implement the PAHO Strategic Plan 2020–2025 and drive health impact at the country level, in accordance with the SHAA2030
Leadership, governance, and enabling functions
27.1.a. Number of countries and territories with a current Country Cooperation Strategy
27.1.a. Number of countries and territories with a current Country Cooperation Strategy
Baseline value
2023
Target Value
2025
Rating:
Partially achieved