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EOB 2024-2025
Chile
Chile
Chile
Chile
Chile
Highlighted achievements
National telehealth expanded to strengthen primary health care and manage demand

During the 2024–2025 biennium, PAHO played a key role in consolidating telehealth and teletriage as components of national policy in Chile, contributing to the strengthening of primary health care (PHC) toward a more resolutive, timely, and people-centered model. Through sustained technical cooperation, methodological development, capacity-building, and digital interoperability, PAHO supported the Ministry of Health in expanding and standardizing teletriage across the public health network, reaching all 29 health services and supporting its implementation in more than 400 family health centers.

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Hospital management strengthened through productivity and informed financing

During the 2024–2025 biennium, PAHO supported Chile in scaling up the use of the Productive Management Methodology for Health Services (PMMHS), strengthening the capacity of the hospital system to make evidence-based decisions on financing, efficiency, and resource use.  

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Digital interoperability strengthened to improve data, surveillance, and care

During the 2024–2025 biennium, PAHO contributed to strengthening Chile’s digital health ecosystem through technical support for semantic standardization, interoperability, and the strategic use of information systems oriented toward clinical management and public health surveillance. 

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Healthy aging integrated into primary health care through ICOPE 

During the 2024–2025 biennium, PAHO supported Chile in integrating a healthy aging approach into PHC through the adaptation and implementation of the Integrated Care for Older People (ICOPE) framework and the strengthening of interventions across the life course.

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Intersectoral action advanced on the environmental determinants of health

During the 2024–2025 biennium, PAHO supported the consolidation of a strategic and intersectoral political agenda in Chile to address the environmental determinants of health. Through technical cooperation, PAHO facilitated collaboration among the Ministry of Health, the Agricultural and Livestock Service of Chile, regional governments, and municipalities to address the impact of environmental challenges including climate change, air pollution, heatwaves, and challenges related to rural water and sanitation. 

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[Report Landing Page]
Outcome Indicators

  • Outcome 01. Access to comprehensive and quality health services
  • Outcome 02. Health throughout the life course
  • Outcome 03. Quality care for older people
  • Outcome 07. Health workforce
  • Outcome 08. Access to health technologies
  • Outcome 09. Strengthened stewardship and governance
  • Outcome 10. Increased public financing for health
  • Outcome 11. Strengthened financial protection
    • Outcome Indicator Baseline/Target Rating
    01.a. Number of countries and territories that show a reduction of at least 10% in hospitalization for ambulatory care sensitive conditions Baseline 2019
    Not achieved
    01.b. Number of countries and territories that have implemented strategies to strengthen the response capacity of the first level of care Target 2025
    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 Baseline 2019
    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 Baseline 2019
    Achieved
    07.a. Number of countries and territories that have reduced the density gap with respect to physicians, nurses, and midwives, achieving at least 25 health workers per 10,000 population in underserved areas, keeping in mind the global target of 44.5 by 2030 Target 2025
    Achieved
    07.b. Number of countries that have an interprofessional health team at the first level of care, consistent with their model of care Baseline 2019
    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
    Achieved
    08.b. Number of countries and territories with regulatory systems that reach level 3 under the WHO Global Benchmarking Tool (GBT) Baseline 2019
    Partially achieved
    08.d. Number of countries and territories that have regulations and oversight that ensure access to quality and safe radiological services Target 2025
    Partially achieved
    08.e. Number of countries and territories that have regulations and oversight that ensure availability of quality pharmaceutical services Target 2025
    Partially achieved
    08.f. Number of countries and territories that have implemented institutional frameworks, strategies and/or legal frameworks for the assessment, selection and rational use of medicines and other health technologies including antibiotics Target 2025
    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
    Partially 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
    Not achieved
    10.a. Number of countries and territories that have increased public expenditure on health to at least 6% of GDP Target 2025
    Partially achieved
    10.b. Number of countries and territories that have allocated at least 30% of the public expenditure in health to the first level of care Target 2025
    Partially achieved
    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
    Not 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
    Achieved

  • Outcome 04. Response capacity for communicable diseases
  • Outcome 12. Risk factors for communicable diseases
  • Outcome 17. Elimination of communicable diseases
    • 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.g. Number of countries and territories reporting at least 95% coverage at the national level of the second dose of measles and rubella containing vaccine (MRCV) Target 2025
    Not achieved
    04.h. Number of countries and territories reporting at least 95% coverage of 3 doses of diphtheria, pertussis, and tetanus -containing vaccine (DPT3) in 80% of municipalities Target 2025
    Partially achieved
    04.i. Number of countries and territories reporting at least 95% coverage at national level of 3 doses of pneumococcus-containing vaccine at national level Target 2025
    Not achieved
    04.j. Number of countries and territories that have incorporated HPV vaccines in their national vaccination program Baseline 2019
    Achieved
    12.b. Number of countries and territories where the entire endemic (by vector transmission) territory or territorial unit has a domestic infestation index (by the main triatomine vector species or by the substitute vector, as the case may be) of less than or equal to 1% 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
    12.d. Number of countries and territories that have adequate mechanisms in place to prevent or mitigate risks to food safety 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) Baseline 2019
    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 [b]. Interruption of transmission of neglected infectious diseases (NID) in countries, following WHO criteria and guidelines [Chagas Disease] 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 05. Access to services for NCDs and mental health conditions
  • Outcome 06. Response capacity for violence and injuries
  • Outcome 13. Risk factors for noncommunicable diseases
  • Outcome 15. Intersectoral response to violence and injuries
  • Outcome 16. Intersectoral action on mental health
    • 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
    Not achieved
    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 Baseline 2019
    Partially achieved
    05.c. Number of countries and territories with cervical cancer screening programs that achieve at least 70% coverage of screening in women aged 30-49 years, or for the age group defined by the national policy Baseline 2019
    Discrepancy
    05.d. Number of countries and territories that increase access to palliative care, assessed by increase in morphine equivalent consumption of opioid analgesics (excluding methadone) Target 2025
    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
    05.f. Number of countries and territories that have tertiary care centers that provide rehabilitation services with multi-disciplinary teams for complex injuries Baseline 2019
    Achieved
    05.h. Number of countries and territories that have increased the rate of persons admitted with mental disorders to general hospitals Baseline 2019
    Achieved
    05.i. Number of countries and territories that have increased the rate of persons receiving treatment interventions (pharmacological, psychosocial, and rehabilitation and aftercare services) for substance use disorders in the health service network Baseline 2019
    Achieved
    06.b. Number of countries and territories that provide comprehensive post-rape care services in emergency health services, consistent with WHO guidelines Target 2025
    Achieved
    13.d. Number of countries and territories that have eliminated industrially produced trans fatty acids Baseline 2019
    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
    15.b. Number of countries and territories that have a national or multisectoral plan addressing violence that includes the health system Baseline 2019
    Achieved
    16.a. Number of countries and territories with ongoing collaboration between government mental health services and other departments, services, and sectors Baseline 2019
    Achieved

  • Outcome 18. Social and environmental determinants
  • Outcome 19. Health promotion and intersectoral action
  • Outcome 26. CCTs: equity, gender, ethnicity, and human rights
    • Outcome Indicator Baseline/Target Rating
    18.a. Number of countries and territories with capacity to implement and monitor policies to address social determinants of health Baseline 2019
    Achieved
    18.b. Number of countries and territories with capacity to prevent key occupational diseases Baseline 2019
    Achieved
    18.g. Number of countries and territories with capacity to address health in chemical safety (including human health exposure to metals and/or pesticides) Baseline 2019
    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
    19.b. Number of countries and territories that have integrated health promotion into health services based on the principles of primary health care Baseline 2019
    Achieved
    19.c. Number of countries and territories that are implementing policies or strategies based on regional guidance for healthy schools Baseline 2019
    Achieved
    26.a. Number of countries and territories with institutional responses and accountability mechanisms that are advancing health equity, gender and ethnic equality in health, and human rights Target 2025
    Achieved

  • Outcome 20. Integrated information systems for health
  • Outcome 21. Data, information, knowledge, and evidence
  • Outcome 22. Research, ethics, and innovation for health
    • Outcome Indicator Baseline/Target Rating
    20.a. Number of countries and territories that implement integrated interoperable information systems for health that include subnational disaggregation Target 2025
    Achieved
    21.a. Number of countries and territories with functional governance for generating and using evidence integrated into health systems Baseline 2019
    Achieved
    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
    22.b. Number of countries and territories that have ethical standards for conducting research with human subjects Baseline 2019
    Achieved

  • Outcome 23. Health emergencies preparedness and risk reduction
  • Outcome 24. Epidemic and pandemic prevention and control
    • 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
    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 27. Leadership and governance
    • 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 Baseline 2019
    Achieved

    1. Access to comprehensive and quality health services

    Health systems, services, and life course
    01.a. Number of countries and territories that show a reduction of at least 10% in hospitalization for ambulatory care sensitive conditions
    01.a. Number of countries and territories that show a reduction of at least 10% in hospitalization for ambulatory care sensitive conditions
    Target Value:
    2025
    Baseline value:
    2019
    Rating:
    Not achieved
    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.g. Number of countries and territories reporting at least 95% coverage at the national level of the second dose of measles and rubella containing vaccine (MRCV)
    04.g. Number of countries and territories reporting at least 95% coverage at the national level of the second dose of measles and rubella containing vaccine (MRCV)
    Target Value:
    2025
    Baseline value:
    2019
    Rating:
    Not achieved
    Communicable diseases
    04.h. Number of countries and territories reporting at least 95% coverage of 3 doses of diphtheria, pertussis, and tetanus -containing vaccine (DPT3) in 80% of municipalities
    04.h. Number of countries and territories reporting at least 95% coverage of 3 doses of diphtheria, pertussis, and tetanus -containing vaccine (DPT3) in 80% of municipalities
    Target Value:
    2025
    Baseline value:
    2019
    Rating:
    Partially achieved
    Communicable diseases
    04.i. Number of countries and territories reporting at least 95% coverage at national level of 3 doses of pneumococcus-containing vaccine at national level
    04.i. Number of countries and territories reporting at least 95% coverage at national level of 3 doses of pneumococcus-containing vaccine at national level
    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.c. Number of countries and territories with cervical cancer screening programs that achieve at least 70% coverage of screening in women aged 30-49 years, or for the age group defined by the national policy
    05.c. Number of countries and territories with cervical cancer screening programs that achieve at least 70% coverage of screening in women aged 30-49 years, or for the age group defined by the national policy
    Target Value:
    2025
    Baseline value:
    2019
    Rating:
    Not achieved
    Noncommunicable diseases and their risk factors, mental health, violence, and injuries
    05.d. Number of countries and territories that increase access to palliative care, assessed by increase in morphine equivalent consumption of opioid analgesics (excluding methadone)
    05.d. Number of countries and territories that increase access to palliative care, assessed by increase in morphine equivalent consumption of opioid analgesics (excluding methadone)
    Target Value:
    2025
    Baseline value:
    2019
    Rating:
    Partially 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
    Noncommunicable diseases and their risk factors, mental health, violence, and injuries
    05.f. Number of countries and territories that have tertiary care centers that provide rehabilitation services with multi-disciplinary teams for complex injuries
    05.f. Number of countries and territories that have tertiary care centers that provide rehabilitation services with multi-disciplinary teams for complex injuries
    Target Value:
    2025
    Baseline value:
    2019
    Rating:
    Partially achieved
    Noncommunicable diseases and their risk factors, mental health, violence, and injuries
    05.h. Number of countries and territories that have increased the rate of persons admitted with mental disorders to general hospitals
    05.h. Number of countries and territories that have increased the rate of persons admitted with mental disorders to general hospitals
    Target Value:
    2025
    Baseline value:
    2019
    Rating:
    Partially achieved
    Noncommunicable diseases and their risk factors, mental health, violence, and injuries
    05.i. Number of countries and territories that have increased the rate of persons receiving treatment interventions (pharmacological, psychosocial, and rehabilitation and aftercare services) for substance use disorders in the health service network
    05.i. Number of countries and territories that have increased the rate of persons receiving treatment interventions (pharmacological, psychosocial, and rehabilitation and aftercare services) for substance use disorders in the health service network
    Target Value:
    2025
    Baseline value:
    2019
    Rating:
    Partially achieved

    6. Response capacity for violence and injuries

    Noncommunicable diseases and their risk factors, mental health, violence, and injuries
    06.b. Number of countries and territories that provide comprehensive post-rape care services in emergency health services, consistent with WHO guidelines
    06.b. Number of countries and territories that provide comprehensive post-rape care services in emergency health services, consistent with WHO guidelines
    Target Value:
    2025
    Baseline value:
    2019
    Rating:
    Partially achieved

    7. Health workforce

    Health systems, services, and life course
    07.a. Number of countries and territories that have reduced the density gap with respect to physicians, nurses, and midwives, achieving at least 25 health workers per 10,000 population in underserved areas, keeping in mind the global target of 44.5
    07.a. Number of countries and territories that have reduced the density gap with respect to physicians, nurses, and midwives, achieving at least 25 health workers per 10,000 population in underserved areas, keeping in mind the global target of 44.5 by 2030
    Target Value:
    2025
    Baseline value:
    2019
    Rating:
    Partially achieved
    Health systems, services, and life course
    07.b. Number of countries that have an interprofessional health team at the first level of care, consistent with their model of care
    07.b. Number of countries that have an interprofessional health team at the first level of care, consistent with their model of care
    Target Value:
    2025
    Baseline value:
    2019
    Rating:
    Partially 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.b. Number of countries and territories with regulatory systems that reach level 3 under the WHO Global Benchmarking Tool (GBT)
    08.b. Number of countries and territories with regulatory systems that reach level 3 under the WHO Global Benchmarking Tool (GBT)
    Target Value:
    2025
    Baseline value:
    2019
    Rating:
    Not achieved
    Health systems, services, and life course
    08.d. Number of countries and territories that have regulations and oversight that ensure access to quality and safe radiological services
    08.d. Number of countries and territories that have regulations and oversight that ensure access to quality and safe radiological services
    Target Value:
    2025
    Baseline value:
    2019
    Rating:
    Partially achieved
    Health systems, services, and life course
    08.e. Number of countries and territories that have regulations and oversight that ensure availability of quality pharmaceutical services
    08.e. Number of countries and territories that have regulations and oversight that ensure availability of quality pharmaceutical services
    Target Value:
    2025
    Baseline value:
    2019
    Rating:
    Partially achieved
    Health systems, services, and life course
    08.f. Number of countries and territories that have implemented institutional frameworks, strategies and/or legal frameworks for the assessment, selection and rational use of medicines and other health technologies including antibiotics
    08.f. Number of countries and territories that have implemented institutional frameworks, strategies and/or legal frameworks for the assessment, selection and rational use of medicines and other health technologies including antibiotics
    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

    10. Increased public health financing

    Health systems, services, and life course
    10.a. Number of countries and territories that have increased public expenditure on health to at least 6% of GDP
    10.a. Number of countries and territories that have increased public expenditure on health to at least 6% of GDP
    Target Value:
    2025
    Baseline value:
    2019
    Rating:
    Partially achieved
    Health systems, services, and life course
    10.b. Number of countries and territories that have allocated at least 30% of the public expenditure in health to the first level of care
    10.b. Number of countries and territories that have allocated at least 30% of the public expenditure in health to the first level of care
    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.b. Number of countries and territories where the entire endemic (by vector transmission) territory or territorial unit has a domestic infestation index (by the main triatomine vector species or by the substitute vector, as the case may be) of less
    12.b. Number of countries and territories where the entire endemic (by vector transmission) territory or territorial unit has a domestic infestation index (by the main triatomine vector species or by the substitute vector, as the case may be) of less than or equal to 1%
    Target Value:
    2025
    Baseline value:
    2019
    Rating:
    Not achieved
    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 intersectora
    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
    Communicable diseases
    12.d. Number of countries and territories that have adequate mechanisms in place to prevent or mitigate risks to food safety
    12.d. Number of countries and territories that have adequate mechanisms in place to prevent or mitigate risks to food safety
    Target Value:
    2025
    Baseline value:
    2019
    Rating:
    Partially 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
    Noncommunicable diseases and their risk factors, mental health, violence, and injuries
    15.b. Number of countries and territories that have a national or multisectoral plan addressing violence that includes the health system
    15.b. Number of countries and territories that have a national or multisectoral plan addressing violence that includes the health system
    Target Value:
    2025
    Baseline value:
    2019
    Rating:
    Achieved

    16. Intersectoral action on mental health

    Noncommunicable diseases and their risk factors, mental health, violence, and injuries
    16.a. Number of countries and territories with ongoing collaboration between government mental health services and other departments, services, and sectors
    16.a. Number of countries and territories with ongoing collaboration between government mental health services and other departments, services, and sectors
    Target Value:
    2025
    Baseline value:
    2019
    Rating:
    Partially 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 [b]. Interruption of transmission of neglected infectious diseases (NID) in countries, following WHO criteria and guidelines [Chagas Disease]
    17.c [b]. Interruption of transmission of neglected infectious diseases (NID) in countries, following WHO criteria and guidelines [Chagas Disease]
    Target Value:
    2025
    Baseline value:
    2019
    Rating:
    Not 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.a. Number of countries and territories with capacity to implement and monitor policies to address social determinants of health
    18.a. Number of countries and territories with capacity to implement and monitor policies to address social determinants of health
    Target Value:
    2025
    Baseline value:
    2019
    Rating:
    Achieved
    Determinants of health and cross-cutting themes
    18.b. Number of countries and territories with capacity to prevent key occupational diseases
    18.b. Number of countries and territories with capacity to prevent key occupational diseases
    Target Value:
    2025
    Baseline value:
    2019
    Rating:
    Achieved
    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
    Determinants of health and cross-cutting themes
    19.b. Number of countries and territories that have integrated health promotion into health services based on the principles of primary health care
    19.b. Number of countries and territories that have integrated health promotion into health services based on the principles of primary health care
    Target Value:
    2025
    Baseline value:
    2019
    Rating:
    Partially achieved
    Determinants of health and cross-cutting themes
    19.c. Number of countries and territories that are implementing policies or strategies based on regional guidance for healthy schools
    19.c. Number of countries and territories that are implementing policies or strategies based on regional guidance for healthy schools
    Target Value:
    2025
    Baseline value:
    2019
    Rating:
    Achieved

    20. Integrated information systems for health

    Information systems, evidence, and research
    20.a. Number of countries and territories that implement integrated interoperable information systems for health that include subnational disaggregation
    20.a. Number of countries and territories that implement integrated interoperable information systems for health that include subnational disaggregation
    Target Value:
    2025
    Baseline value:
    2019
    Rating:
    Partially achieved

    21. Data, information, knowledge, and evidence

    Information systems, evidence, and research
    21.a. Number of countries and territories with functional governance for generating and using evidence integrated into health systems
    21.a. Number of countries and territories with functional governance for generating and using evidence integrated into health systems
    Target Value:
    2025
    Baseline value:
    2019
    Rating:
    Partially achieved
    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

    22. Research, ethics, and innovation for health

    Information systems, evidence, and research
    22.b. Number of countries and territories that have ethical standards for conducting research with human subjects
    22.b. Number of countries and territories that have ethical standards for conducting research with human subjects
    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

    26. CCTs: equity, gender, ethnicity, and human rights

    Determinants of health and cross-cutting themes
    26.a. Number of countries and territories with institutional responses and accountability mechanisms that are advancing health equity, gender and ethnic equality in health, and human rights
    26.a. Number of countries and territories with institutional responses and accountability mechanisms that are advancing health equity, gender and ethnic equality in health, and human rights
    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

  • OPT 1.1 Policy options, tools, and technical guidance provided to countries to enhance equitable, people-centered, integrated service delivery, including public health services
  • OPT 1.2 Countries and territories enabled to improve quality of care in health service delivery
  • OPT 2.1 Countries and territories enabled to implement the regional Plan of Action for Women's, Children's, and Adolescents' Health 2018–2030
  • OPT 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
  • OPT 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
  • OPT 7.3 Countries and territories have strengthened capacities of the health workforce through continuing education programs and lifelong learning
  • OPT 8.2 Countries and territories enabled to strengthen their national regulatory capacity for medicines and health products
  • OPT 8.3 Countries and territories enabled to improve affordability and access to medicines and other health technologies
  • OPT 8.4 Countries and territories enabled to improve access to quality radiological, pharmaceutical, diagnostic, transplant, and blood services within a comprehensive and integrated network of health services
  • OPT 8.6 Countries and territories enabled to improve antibiotic use and monitoring in support of the implementation of national plans for containment of antimicrobial resistance
  • OPT 9.1 Countries and territories enabled to implement the essential public health functions as the basis for building resilient health systems
  • OPT 9.2 Countries and territories enabled to monitor and evaluate health systems transformation strategies for universal health that are based on primary health care
  • OPT 9.4 Countries and territories enabled to develop and implement legislative and regulatory frameworks for universal access to health and universal health coverage
  • OPT 9.5 Policy options, tools, and technical guidance provided to countries and territories for increasing equitable access to comprehensive, timely, quality health services and financial protection for migrant populations
  • OPT 10.1 Countries and territories enabled to develop and implement financial strategies for universal access to health and universal health coverage
  • OPT 11.1 Countries and territories enabled to implement strategies to strengthen financial protection in health
    • 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 Baseline 2023
    Achieved
    01.2.a. Number of countries and territories implementing strategies and/or plans of action to improve quality of care in health service delivery Baseline 2023
    Achieved
    02.1.a. Number of countries and territories that are implementing a national plan in alignment with the Plan of Action for Women’s, Children’s, and Adolescents’ Health 2018–2030 Baseline 2023
    Achieved
    02.2.b. Number of countries and territories that measure percentage of pregnant women who received antenatal care four or more times, disaggregated by age, race/ethnicity, and place of residence Baseline 2023
    Achieved
    02.2.d. Number of countries and territories that conduct periodic developmental assessment as part of their services for children Baseline 2023
    Achieved
    02.2.e. Number of countries and territories implementing strategies to increase access to responsive and quality health services for adolescents Baseline 2023
    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 Baseline 2023
    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
    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 Baseline 2023
    Achieved
    08.3.a. Number of countries and territories with a comprehensive strategy on multisource/generic medicines Baseline 2023
    Achieved
    08.4.a. Number of countries and territories implementing a national plan to strengthen access to radiological services and radiation safety Baseline 2023
    Achieved
    08.4.d. Number of countries and territories implementing a national plan to strengthen access to transplant services Baseline 2023
    Achieved
    08.6.a. Number of countries and territories that have a strategy/mechanism for antibiotic sales estimation and that enforce antibiotic sales under prescription Baseline 2023
    Achieved
    09.1.a. Number of countries and territories implementing a strategy and/or plan of action to improve the essential public health functions as the basis for building resilient health systems Target 2025
    Not achieved
    09.2.a. Number of countries and territories with mechanisms for monitoring and evaluating progress toward universal health and primary health care using PAHO’s frameworks and tools Baseline 2023
    Achieved
    09.4.a. Number of countries and territories that have established, reviewed, and/or updated health-related legislation and regulatory frameworks in the last five years in support of universal access to health and universal health coverage, the realization of the right to health, and other health-related matters from a human rights perspective Target 2025
    Achieved
    09.5.a. Number of countries and territories implementing interventions and actions to promote and protect the health and well-being of the migrant population within national health policies, plans, and programs Baseline 2023
    Achieved
    10.1.b. Number of countries and territories implementing payment systems and resource allocation strategies to promote a PHC approach in the organization of health services delivery Baseline 2023
    Achieved
    11.1.a. Number of countries and territories implementing specific strategies to eliminate or diminish direct payments at the point of service Baseline 2023
    Achieved

  • OPT 4.1 National health systems enabled to deliver and expand coverage of key quality services and interventions for HIV, STIs, TB and VH through sustainable policies, up-to-date normative guidance and tools and generation and use of strategic information
  • OPT 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
  • OPT 12.1 Countries and territories enabled to improve awareness and understanding of antimicrobial resistance (AMR) through effective communication, education, and training toward behavior change
  • OPT 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
  • OPT 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
  • OPT 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
  • OPT 12.7 Countries and territories enabled to implement international standards and strategies for food safety to prevent and mitigate foodborne illnesses, including infections produced by resistant pathogens, with a One Health approach
  • OPT 12.8 Countries and territories enabled to implement interventions against zoonotic diseases, especially to prevent transmission from infected animals to people, with a One Health approach
  • OPT 12.9 Countries and territories enabled to implement actions for eliminating vector-borne transmission of T. cruzi by the main or secondary vector
  • OPT 17.1 Countries and territories enabled to provide early diagnosis, treatment, case investigation, and response toward malaria elimination and prevention of reestablishment
  • OPT 17.3 Implementation of the plan of action to eliminate perinatal transmission of hepatitis B
  • OPT 17.4 Implementation of the Hemispheric Program for the Eradication of Foot-and-Mouth Disease (PHEFA)
  • OPT 17.6 Implementation of the Plan of Action for the Sustainability of Measles, Rubella, and Congenital Rubella Syndrome Elimination in the Americas 2018–2023
  • OPT 17.7 Endemic countries and territories enabled to implement the strategy for the elimination of congenital Chagas (EMTCT-Plus)
  • OPT 17.8 Countries and territories enabled to implement plans of action for the prevention, prophylaxis, surveillance, control, and elimination of human rabies transmitted by dogs
    • 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 Baseline 2023
    Achieved
    04.5.b. Number of countries and territories generating evidence to support decisions on the introduction or post-introduction of new vaccines Baseline 2023
    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
    Achieved
    12.7.a. Number of countries and territories that have in place or under implementation intersectoral mandatory risk-based regulatory mechanisms, food monitoring and foodborne disease surveillance systems, or any other practice to protect public health from foodborne diseases, with a One Health approach Baseline 2023
    Achieved
    12.8.a. Number of countries and territories that have programs to prevent or mitigate zoonotic diseases and snake/arthropod envenoming Baseline 2023
    Achieved
    12.9.a. Number of countries and territories with integrated territorial actions for prevention, control, and/or surveillance of vector-borne transmission of Trypanosoma cruzi Baseline 2023
    Achieved
    17.1.a. Number of countries and territories implementing PAHO/WHO-recommended interventions in active foci and areas at risk of reestablishment of malaria Baseline 2023
    Achieved
    17.3.a. Number of countries and territories that administer hepatitis B vaccine to newborns during the first 24 hours Baseline 2023
    Achieved
    17.4.a. Number of countries and territories with official status as foot-and-mouth disease free, with or without vaccination, in accordance with the timeline and expected results established in the PHEFA Action Plan 2021–2025 Baseline 2023
    Achieved
    17.6.a. Number of countries and territories that have met the established minimum annual rate of suspected measles/rubella cases plus at least three of the five surveillance indicators defined in the Plan of Action for the Sustainability of Measles, Rubella, and Congenital Rubella Syndrome Elimination in the Americas 2018-2023 Target 2025
    Achieved
    17.7.a. Number of endemic countries and territories with screening and diagnosis of Chagas implemented for all newborns of mothers who tested positive for Chagas disease during prenatal care Baseline 2023
    Achieved
    17.8.a. Number of countries and territories implementing plans of action to strengthen prevention, prophylaxis, surveillance, and control for the validation of the elimination of rabies transmitted by dogs Baseline 2023
    Achieved

  • OPT 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
  • OPT 5.2 Countries and territories enabled to strengthen noncommunicable disease surveillance systems to monitor and report on the global and regional NCD commitments
  • OPT 5.3 Countries and territories enabled to provide quality, people-centered mental health services, based on primary health care strategies and comprehensive essential mental health service packages
  • OPT 5.4 Countries and territories enabled to strengthen mental health information systems to monitor and report on the basic mental health indicators
  • OPT 5.5 Countries and territories enabled to improve access to health and health equity for people with disabilities and to strengthen rehabilitation and assistive technology services
  • OPT 6.1 Countries and territories enabled to increase health service response capacity for road traffic injuries
  • OPT 6.2 Countries and territories enabled to develop national standard operating procedures, protocols, and/or guidelines to strengthen the health system response to violence
  • OPT 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
  • OPT 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 SDG Goals
  • OPT 16.1 Countries and territories enabled to strengthen multisectoral policies and legislation for mental health in line with PAHO/WHO policies
  • OPT 16.2 Countries and territories enabled to develop suicide prevention plans
    • 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.a. Number of countries and territories that have surveillance systems in place to enable reporting on the global and regional NCD commitments Target 2025
    Achieved
    05.3.a. Number of countries and territories with comprehensive mental health services integrated into primary health care in at least 50% of primary health care facilities Baseline 2023
    Achieved
    05.4.a. Number of countries and territories that collect, analyze, and report a core set of mental health indicators within the national health information systems Baseline 2023
    Achieved
    05.5.a. Number of countries and territories that have defined a priority list of assistive devices and products Baseline 2023
    Achieved
    06.1.a. Number of countries and territories that have a single emergency care access number with full national coverage Target 2025
    Partially achieved
    06.2.a. Number of countries and territories that are implementing national standard operating procedures, protocols, and/or guidelines for the health system response to violence, aligned with PAHO and WHO guidelines Baseline 2023
    Achieved
    13.1.b. Number of countries and territories implementing a national policy or strategy on physical activity Baseline 2023
    Achieved
    13.1.c. Number of countries and territories implementing policies to reduce salt/sodium consumption in the population Baseline 2023
    Achieved
    13.1.d. Number of countries and territories implementing policies and/or actions to regulate unhealthy food and drink products Baseline 2023
    Achieved
    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 2023
    Achieved
    13.1.f. Number of Member States that have implemented the four major demand-reduction measures in the WHO Framework Convention on Tobacco Control (FCTC) at the highest level of achievement Baseline 2023
    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
    Achieved
    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 2023
    Achieved
    16.2.a. Number of countries and territories with national multisectoral strategies and plans aimed at the prevention of suicide across the life course and addressing its main risk factors and social determinants Baseline 2023
    Achieved

  • OPT 18.1 Countries and territories enabled to address the social determinants of health
  • OPT 18.2 Countries and territories enabled to reduce health risks associated with climate change, air pollution, hazardous waste and chemicals, and water and sanitation
  • OPT 18.3 Countries and territories enabled to prevent key occupational diseases
  • OPT 19.1 Countries and territories enabled to adopt, review, and revise laws, regulations, and policies to create healthy settings, including schools, universities, housing, and workplaces
  • OPT 19.2 Countries and territories enabled to develop and/or strengthen city and municipal government capacities to include health promotion as a priority
  • OPT 19.3 National, subnational, and local governance mechanisms used to address health determinants, applying the Health in All Policies approach
  • OPT 19.4 Countries and territories enabled to apply health promotion in a systematic way within and outside the health sector
  • OPT 26.4 Countries and territories enabled to implement policies, plans, and programs to advance ethnic equality in health
  • OPT 26.5 Countries and territories enabled to establish and implement health-related policies, plans, and/or laws to advance the right to health and other health-related rights
    • Output (OPT) Indicator Baseline/Target Rating
    18.1.a. Number of countries and territories that have developed national, subnational, or local health policies, plans, programs, and/or projects that address the social determinants of health and inequities Baseline 2023
    Achieved
    18.2.c. Number of countries and territories implementing plans, policies, programs, and/or interventions to reduce health risks associated with outdoor air pollution, following WHO guidelines Baseline 2023
    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 Baseline 2023
    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 Baseline 2023
    Achieved
    18.3.a. Number of countries and territories that have initiatives to prevent, diagnose, and record chronic kidney disease of nontraditional causes and/or pneumoconiosis Baseline 2023
    Achieved
    19.1.a. Number of countries and territories that have laws, regulations, or policies in at least two categories of healthy settings Baseline 2023
    Achieved
    19.2.a. Number of countries and territories that build capacities of local-level governments to integrate health promotion in their planning Baseline 2023
    Achieved
    19.3.a. Number of countries and territories that have established an intersectoral mechanism at national or subnational and local government levels to address the determinants of health, applying the Health in All Policies approach Baseline 2023
    Achieved
    19.4.a. Number of countries and territories implementing a national health promotion policy Baseline 2023
    Achieved
    19.4.b. Number of countries and territories implementing mechanisms that facilitate the participation of community organizations and leaders in public health programs Baseline 2023
    Achieved
    26.4.a. Number of countries and territories implementing policies, plans, and programs to advance ethnic equality in health Baseline 2023
    Achieved
    26.5.a. Number of countries and territories using human rights norms and standards in the formulation and implementation of health-related policies, plans, programs, and legislation Baseline 2023
    Achieved

  • OPT 20.1 Countries and territories enabled to develop and implement national plans for strengthening information systems for health (IS4H) that are based on assessments
  • OPT 20.2 Countries and territories enabled to adopt and implement national plans of action for strengthening the quality and coverage of vital statistics
  • OPT 21.1 Countries and territories enabled to generate and apply scientific evidence for health
  • OPT 21.2 Countries and territories enabled to generate and disseminate multilingual information and to develop standards, policies, and tools for knowledge sharing for health
  • OPT 21.3 Countries and territories enabled to generate, analyze, and present health-related information, including on SDG 3
  • OPT 22.2 Countries and territories enabled to address priority ethical issues related to research for health
  • OPT 22.3 Countries and territories enabled to increase the production and dissemination of relevant health science and innovations
    • 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 Baseline 2023
    Achieved
    20.2.a. Number of countries and territories implementing an updated plan of action for strengthening the quality and coverage of vital statistics Baseline 2023
    Achieved
    21.1.a. Number of countries and territories integrating scientific evidence on health into practices, programs, or policies, using standardized methodologies including evidence-informed clinical and public health guidelines, norms, and standards Baseline 2023
    Achieved
    21.2.a. Number of countries and territories with mechanisms (policies, standards, tools, etc.) in place for the generation, dissemination, and preservation of, and access to, scientific and technical data, information, and evidence for health Baseline 2023
    Achieved
    21.3.a. Number of countries and territories that generate and disseminate health analyses and/or health intelligence reports on relevant public health topics, including SDG 3 progress monitoring and health equity analyses Baseline 2023
    Achieved
    22.2.a. Number of countries and territories with the national health authority enabled to address ethical issues and establish effective mechanisms for ethics oversight of research Baseline 2023
    Achieved
    22.3.a. Number of countries and territories that have increased the number of scientific publications on health that respond to priority research agendas and the SDGs Baseline 2023
    Achieved

  • OPT 23.1 All-hazards emergency preparedness capacities in countries and territories assessed and reported
  • OPT 23.2 Countries and territories enabled to strengthen capacities for emergency preparedness
  • OPT 23.3 Countries and territories operationally ready to assess and manage identified risks and vulnerabilities
  • OPT 23.4 Countries and territories enabled to improve the safety and security of integrated health services networks
  • OPT 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
    • Output (OPT) Indicator Baseline/Target Rating
    23.1.a. Number of States Parties completing annual reporting on the International Health Regulations (2005) Baseline 2023
    Achieved
    23.1.b. Number of countries and territories that have evaluated disaster and emergency preparedness capacities in the health sector Baseline 2023
    Achieved
    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
    Achieved
    23.3.a. Number of States Parties that have conducted simulation exercises or after-action review Baseline 2023
    Achieved
    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
    Achieved
    24.3.a. Number of countries and territories with access to established expert networks and national laboratory policies to support prediction, detection, prevention, control, and response to high-threat and emerging pathogens, including emerging zoonotic pathogen Baseline 2023
    Achieved
    24.3.b. Number of countries and territories performing regular monitoring/auditing of infection prevention and control practices in referral care facilities 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

  • OPT 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
    • 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, including NCDs
    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

    1.2 Countries and territories enabled to improve quality of care in health service delivery

    Health systems, services, and life course
    01.2.a. Number of countries and territories implementing strategies and/or plans of action to improve quality of care in health service delivery
    01.2.a. Number of countries and territories implementing strategies and/or plans of action to improve quality of care in health service delivery
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Partially achieved

    2.1 Countries and territories enabled to implement the regional Plan of Action for Women's, Children's, and Adolescents' Health 2018–2030

    Health systems, services, and life course
    02.1.a. Number of countries and territories that are implementing a national plan in alignment with the Plan of Action for Women’s, Children’s, and Adolescents’ Health 2018–2030
    02.1.a. Number of countries and territories that are implementing a national plan in alignment with the Plan of Action for Women’s, Children’s, and Adolescents’ Health 2018–2030
    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.b. Number of countries and territories that measure percentage of pregnant women who received antenatal care four or more times, disaggregated by age, race/ethnicity, and place of residence
    02.2.b. Number of countries and territories that measure percentage of pregnant women who received antenatal care four or more times, disaggregated by age, race/ethnicity, and place of residence
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Partially achieved
    Health systems, services, and life course
    02.2.d. Number of countries and territories that conduct periodic developmental assessment as part of their services for children
    02.2.d. Number of countries and territories that conduct periodic developmental assessment as part of their services for children
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Achieved
    Health systems, services, and life course
    02.2.e. Number of countries and territories implementing strategies to increase access to responsive and quality health services for adolescents
    02.2.e. Number of countries and territories implementing strategies to increase access to responsive and quality health services for adolescents
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Partially achieved
    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.b. Number of countries and territories generating evidence to support decisions on the introduction or post-introduction of new vaccines
    04.5.b. Number of countries and territories generating evidence to support decisions on the introduction or post-introduction of new vaccines
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Not 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 respiratory
    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.a. Number of countries and territories that have surveillance systems in place to enable reporting on the global and regional NCD commitments
    05.2.a. Number of countries and territories that have surveillance systems in place to enable reporting on the global and regional NCD commitments
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Partially achieved

    5.3 Countries and territories enabled to provide quality, people-centered mental health services, based on primary health care strategies and comprehensive essential mental health service packages

    Noncommunicable diseases and their risk factors, mental health, violence, and injuries
    05.3.a. Number of countries and territories with comprehensive mental health services integrated into primary health care in at least 50% of primary health care facilities
    05.3.a. Number of countries and territories with comprehensive mental health services integrated into primary health care in at least 50% of primary health care facilities
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Partially achieved

    5.4 Countries and territories enabled to strengthen mental health information systems to monitor and report on the basic mental health indicators

    Noncommunicable diseases and their risk factors, mental health, violence, and injuries
    05.4.a. Number of countries and territories that collect, analyze, and report a core set of mental health indicators within the national health information systems
    05.4.a. Number of countries and territories that collect, analyze, and report a core set of mental health indicators within the national health information systems
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Partially achieved

    5.5 Countries and territories enabled to improve access to health and health equity for people with disabilities and to strengthen rehabilitation and assistive technology services

    Noncommunicable diseases and their risk factors, mental health, violence, and injuries
    05.5.a. Number of countries and territories that have defined a priority list of assistive devices and products
    05.5.a. Number of countries and territories that have defined a priority list of assistive devices and products
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Partially achieved

    6.1 Countries and territories enabled to increase health service response capacity for road traffic injuries

    Noncommunicable diseases and their risk factors, mental health, violence, and injuries
    06.1.a. Number of countries and territories that have a single emergency care access number with full national coverage
    06.1.a. Number of countries and territories that have a single emergency care access number with full national coverage
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Not achieved

    6.2 Countries and territories enabled to develop national standard operating procedures, protocols, and/or guidelines to strengthen the health system response to violence

    Noncommunicable diseases and their risk factors, mental health, violence, and injuries
    06.2.a. Number of countries and territories that are implementing national standard operating procedures, protocols, and/or guidelines for the health system response to violence, aligned with PAHO and WHO guidelines
    06.2.a. Number of countries and territories that are implementing national standard operating procedures, protocols, and/or guidelines for the health system response to violence, aligned with PAHO and WHO guidelines
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Not 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

    8.2 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 by the Global
    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

    8.3 Countries and territories enabled to improve affordability and access to medicines and other health technologies

    Health systems, services, and life course
    08.3.a. Number of countries and territories with a comprehensive strategy on multisource/generic medicines
    08.3.a. Number of countries and territories with a comprehensive strategy on multisource/generic medicines
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Partially achieved

    8.4 Countries and territories enabled to improve access to quality radiological, pharmaceutical, diagnostic, transplant, and blood services within a comprehensive and integrated network of health services

    Health systems, services, and life course
    08.4.a. Number of countries and territories implementing a national plan to strengthen access to radiological services and radiation safety
    08.4.a. Number of countries and territories implementing a national plan to strengthen access to radiological services and radiation safety
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Partially achieved
    Health systems, services, and life course
    08.4.d. Number of countries and territories implementing a national plan to strengthen access to transplant services
    08.4.d. Number of countries and territories implementing a national plan to strengthen access to transplant services
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Achieved

    8.6 Countries and territories enabled to improve antibiotic use and monitoring in support of the implementation of national plans for containment of antimicrobial resistance

    Health systems, services, and life course
    08.6.a. Number of countries and territories that have a strategy/mechanism for antibiotic sales estimation and that enforce antibiotic sales under prescription
    08.6.a. Number of countries and territories that have a strategy/mechanism for antibiotic sales estimation and that enforce antibiotic sales under prescription
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Partially achieved

    9.1 Countries and territories enabled to implement the essential public health functions as the basis for building resilient health systems

    Health systems, services, and life course
    09.1.a. Number of countries and territories implementing a strategy and/or plan of action to improve the essential public health functions as the basis for building resilient health systems
    09.1.a. Number of countries and territories implementing a strategy and/or plan of action to improve the essential public health functions as the basis for building resilient health systems
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Partially achieved

    9.2 Countries and territories enabled to monitor and evaluate health systems transformation strategies for universal health that are based on primary health care

    Health systems, services, and life course
    09.2.a. Number of countries and territories with mechanisms for monitoring and evaluating progress toward universal health and primary health care using PAHO’s frameworks and tools
    09.2.a. Number of countries and territories with mechanisms for monitoring and evaluating progress toward universal health and primary health care using PAHO’s frameworks and tools
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Partially achieved

    9.4 Countries and territories enabled to develop and implement legislative and regulatory frameworks for universal access to health and universal health coverage

    Health systems, services, and life course
    09.4.a. Number of countries and territories that have established, reviewed, and/or updated health-related legislation and regulatory frameworks in the last five years in support of universal access to health and universal health coverage
    09.4.a. Number of countries and territories that have established, reviewed, and/or updated health-related legislation and regulatory frameworks in the last five years in support of universal access to health and universal health coverage, the realization of the right to health, and other health-related matters from a human rights perspective
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Partially achieved

    9.5 Policy options, tools, and technical guidance provided to countries and territories for increasing equitable access to comprehensive, timely, quality health services and financial protection for migrant populations

    Health systems, services, and life course
    09.5.a. Number of countries and territories implementing interventions and actions to promote and protect the health and well-being of the migrant population within national health policies, plans, and programs
    09.5.a. Number of countries and territories implementing interventions and actions to promote and protect the health and well-being of the migrant population within national health policies, plans, and programs
    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.b. Number of countries and territories implementing payment systems and resource allocation strategies to promote a PHC approach in the organization of health services delivery
    10.1.b. Number of countries and territories implementing payment systems and resource allocation strategies to promote a PHC approach in the organization of health services delivery
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Partially achieved

    11.1 Countries and territories enabled to implement strategies to strengthen financial protection in health

    Health systems, services, and life course
    11.1.a. Number of countries and territories implementing specific strategies to eliminate or diminish direct payments at the point of service
    11.1.a. Number of countries and territories implementing specific strategies to eliminate or diminish direct payments at the point of service
    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 facilities
    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

    12.7 Countries and territories enabled to implement international standards and strategies for food safety to prevent and mitigate foodborne illnesses, including infections produced by resistant pathogens, with a One Health approach

    Communicable diseases
    12.7.a. Number of countries and territories that have in place or under implementation intersectoral mandatory risk-based regulatory mechanisms, food monitoring and foodborne disease surveillance systems, or any other practice to protect public
    12.7.a. Number of countries and territories that have in place or under implementation intersectoral mandatory risk-based regulatory mechanisms, food monitoring and foodborne disease surveillance systems, or any other practice to protect public health from foodborne diseases, with a One Health approach
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Not achieved

    12.8 Countries and territories enabled to implement interventions against zoonotic diseases, especially to prevent transmission from infected animals to people, with a One Health approach

    Communicable diseases
    12.8.a. Number of countries and territories that have programs to prevent or mitigate zoonotic diseases and snake/arthropod envenoming
    12.8.a. Number of countries and territories that have programs to prevent or mitigate zoonotic diseases and snake/arthropod envenoming
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Partially achieved

    12.9 Countries and territories enabled to implement actions for eliminating vector-borne transmission of T. cruzi by the main or secondary vector

    Communicable diseases
    12.9.a. Number of countries and territories with integrated territorial actions for prevention, control, and/or surveillance of vector-borne transmission of Trypanosoma cruzi
    12.9.a. Number of countries and territories with integrated territorial actions for prevention, control, and/or surveillance of vector-borne transmission of Trypanosoma cruzi
    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.c. Number of countries and territories implementing policies to reduce salt/sodium consumption in the population
    13.1.c. Number of countries and territories implementing policies to reduce salt/sodium consumption in the population
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Partially achieved
    Noncommunicable diseases and their risk factors, mental health, violence, and injuries
    13.1.d. Number of countries and territories implementing policies and/or actions to regulate unhealthy food and drink products
    13.1.d. Number of countries and territories implementing policies and/or actions to regulate unhealthy food and drink products
    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
    Noncommunicable diseases and their risk factors, mental health, violence, and injuries
    13.1.f. Number of Member States that have implemented the four major demand-reduction measures in the WHO Framework Convention on Tobacco Control (FCTC) at the highest level of achievement
    13.1.f. Number of Member States that have implemented the four major demand-reduction measures in the WHO Framework Convention on Tobacco Control (FCTC) at the highest level of achievement
    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 Development
    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

    16.2 Countries and territories enabled to develop suicide prevention plans

    Noncommunicable diseases and their risk factors, mental health, violence, and injuries
    16.2.a. Number of countries and territories with national multisectoral strategies and plans aimed at the prevention of suicide across the life course and addressing its main risk factors and social determinants
    16.2.a. Number of countries and territories with national multisectoral strategies and plans aimed at the prevention of suicide across the life course and addressing its main risk factors and social determinants
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Partially achieved

    17.1 Countries and territories enabled to provide early diagnosis, treatment, case investigation, and response toward malaria elimination and prevention of reestablishment

    Communicable diseases
    17.1.a. Number of countries and territories implementing PAHO/WHO-recommended interventions in active foci and areas at risk of reestablishment of malaria
    17.1.a. Number of countries and territories implementing PAHO/WHO-recommended interventions in active foci and areas at risk of reestablishment of malaria
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Partially achieved

    17.3 Implementation of the plan of action to eliminate perinatal transmission of hepatitis B

    Communicable diseases
    17.3.a. Number of countries and territories that administer hepatitis B vaccine to newborns during the first 24 hours
    17.3.a. Number of countries and territories that administer hepatitis B vaccine to newborns during the first 24 hours
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Achieved

    17.4 Implementation of the Hemispheric Program for the Eradication of Foot-and-Mouth Disease (PHEFA)

    Communicable diseases
    17.4.a. Number of countries and territories with official status as foot-and-mouth disease free, with or without vaccination, in accordance with the timeline and expected results established in the PHEFA Action Plan 2021–2025
    17.4.a. Number of countries and territories with official status as foot-and-mouth disease free, with or without vaccination, in accordance with the timeline and expected results established in the PHEFA Action Plan 2021–2025
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Achieved

    17.6 Implementation of the Plan of Action for the Sustainability of Measles, Rubella, and Congenital Rubella Syndrome Elimination in the Americas 2018–2023

    Communicable diseases
    17.6.a. Number of countries and territories that have met the established minimum annual rate of suspected measles/rubella cases plus at least three of the five surveillance indicators defined in the Plan of Action for the Sustainability
    17.6.a. Number of countries and territories that have met the established minimum annual rate of suspected measles/rubella cases plus at least three of the five surveillance indicators defined in the Plan of Action for the Sustainability of Measles, Rubella, and Congenital Rubella Syndrome Elimination in the Americas 2018-2023
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Not achieved

    17.7 Endemic countries and territories enabled to implement the strategy for the elimination of congenital Chagas (EMTCT-Plus)

    Communicable diseases
    17.7.a. Number of endemic countries and territories with screening and diagnosis of Chagas implemented for all newborns of mothers who tested positive for Chagas disease during prenatal care
    17.7.a. Number of endemic countries and territories with screening and diagnosis of Chagas implemented for all newborns of mothers who tested positive for Chagas disease during prenatal care
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Partially achieved

    17.8 Countries and territories enabled to implement plans of action for the prevention, prophylaxis, surveillance, control, and elimination of human rabies transmitted by dogs

    Communicable diseases
    17.8.a. Number of countries and territories implementing plans of action to strengthen prevention, prophylaxis, surveillance, and control for the validation of the elimination of rabies transmitted by dogs
    17.8.a. Number of countries and territories implementing plans of action to strengthen prevention, prophylaxis, surveillance, and control for the validation of the elimination of rabies transmitted by dogs
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Partially achieved

    18.1 Countries and territories enabled to address the social determinants of health

    Determinants of health and cross-cutting themes
    18.1.a. Number of countries and territories that have developed national, subnational, or local health policies, plans, programs, and/or projects that address the social determinants of health and inequities
    18.1.a. Number of countries and territories that have developed national, subnational, or local health policies, plans, programs, and/or projects that address the social determinants of health and inequities
    Baseline value
    2023
    Target Value
    2025
    Rating:
    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.c. Number of countries and territories implementing plans, policies, programs, and/or interventions to reduce health risks associated with outdoor air pollution, following WHO guidelines
    18.2.c. Number of countries and territories implementing plans, policies, programs, and/or interventions to reduce health risks associated with outdoor air pollution, 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, the Minamata
    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

    18.3 Countries and territories enabled to prevent key occupational diseases

    Determinants of health and cross-cutting themes
    18.3.a. Number of countries and territories that have initiatives to prevent, diagnose, and record chronic kidney disease of nontraditional causes and/or pneumoconiosis
    18.3.a. Number of countries and territories that have initiatives to prevent, diagnose, and record chronic kidney disease of nontraditional causes and/or pneumoconiosis
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Achieved

    19.1 Countries and territories enabled to adopt, review, and revise laws, regulations, and policies to create healthy settings, including schools, universities, housing, and workplaces

    Determinants of health and cross-cutting themes
    19.1.a. Number of countries and territories that have laws, regulations, or policies in at least two categories of healthy settings
    19.1.a. Number of countries and territories that have laws, regulations, or policies in at least two categories of healthy settings
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Achieved

    19.2 Countries and territories enabled to develop and/or strengthen city and municipal government capacities to include health promotion as a priority

    Determinants of health and cross-cutting themes
    19.2.a. Number of countries and territories that build capacities of local-level governments to integrate health promotion in their planning
    19.2.a. Number of countries and territories that build capacities of local-level governments to integrate health promotion in their planning
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Not achieved

    19.3 National, subnational, and local governance mechanisms used to address health determinants, applying the Health in All Policies approach

    Determinants of health and cross-cutting themes
    19.3.a. Number of countries and territories that have established an intersectoral mechanism at national or subnational and local government levels to address the determinants of health, applying the Health in All Policies approach
    19.3.a. Number of countries and territories that have established an intersectoral mechanism at national or subnational and local government levels to address the determinants of health, applying the Health in All Policies approach
    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
    Determinants of health and cross-cutting themes
    19.4.b. Number of countries and territories implementing mechanisms that facilitate the participation of community organizations and leaders in public health programs
    19.4.b. Number of countries and territories implementing mechanisms that facilitate the participation of community organizations and leaders in public health programs
    Baseline value
    2023
    Target Value
    2025
    Rating:
    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

    20.2 Countries and territories enabled to adand implement national plans of action for strengthening the quality and coverage of vital statistics

    Information systems, evidence, and research
    20.2.a. Number of countries and territories implementing an updated plan of action for strengthening the quality and coverage of vital statistics
    20.2.a. Number of countries and territories implementing an updated plan of action for strengthening the quality and coverage of vital statistics
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Not achieved

    21.1 Countries and territories enabled to generate and apply scientific evidence for health

    Information systems, evidence, and research
    21.1.a. Number of countries and territories integrating scientific evidence on health into practices, programs, or policies, using standardized methodologies including evidence-informed clinical and public health guidelines, norms
    21.1.a. Number of countries and territories integrating scientific evidence on health into practices, programs, or policies, using standardized methodologies including evidence-informed clinical and public health guidelines, norms, and standards
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Achieved

    21.2 Countries and territories enabled to generate and disseminate multilingual information and to develop standards, policies, and tools for knowledge sharing for health

    Information systems, evidence, and research
    21.2.a. Number of countries and territories with mechanisms (policies, standards, tools, etc.) in place for the generation, dissemination, and preservation of, and access to, scientific and technical data, information, and evidence for health
    21.2.a. Number of countries and territories with mechanisms (policies, standards, tools, etc.) in place for the generation, dissemination, and preservation of, and access to, scientific and technical data, information, and evidence for health
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Partially achieved

    21.3 Countries and territories enabled to generate, analyze, and present health-related information, including on SDG 3

    Information systems, evidence, and research
    21.3.a. Number of countries and territories that generate and disseminate health analyses and/or health intelligence reports on relevant public health topics, including SDG 3 progress monitoring and health equity analyses
    21.3.a. Number of countries and territories that generate and disseminate health analyses and/or health intelligence reports on relevant public health topics, including SDG 3 progress monitoring and health equity analyses
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Partially achieved

    22.2 Countries and territories enabled to address priority ethical issues related to research for health

    Information systems, evidence, and research
    22.2.a. Number of countries and territories with the national health authority enabled to address ethical issues and establish effective mechanisms for ethics oversight of research
    22.2.a. Number of countries and territories with the national health authority enabled to address ethical issues and establish effective mechanisms for ethics oversight of research
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Achieved

    22.3 Countries and territories enabled to increase the production and dissemination of relevant health science and innovations

    Information systems, evidence, and research
    22.3.a. Number of countries and territories that have increased the number of scientific publications on health that respond to priority research agendas and the SDGs
    22.3.a. Number of countries and territories that have increased the number of scientific publications on health that respond to priority research agendas and the SDGs
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Not achieved

    23.1 All-hazards emergency preparedness capacities in countries and territories assessed and reported

    Health emergencies
    23.1.a. Number of States Parties completing annual reporting on the International Health Regulations (2005)
    23.1.a. Number of States Parties completing annual reporting on the International Health Regulations (2005)
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Achieved
    Health emergencies
    23.1.b. Number of countries and territories that have evaluated disaster and emergency preparedness capacities in the health sector
    23.1.b. Number of countries and territories that have evaluated disaster and emergency preparedness capacities in the health sector
    Baseline value
    2023
    Target Value
    2025
    Rating:
    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

    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.a. Number of countries and territories with access to established expert networks and national laboratory policies to support prediction, detection, prevention, control, and response to high-threat and emerging pathogens
    24.3.a. Number of countries and territories with access to established expert networks and national laboratory policies to support prediction, detection, prevention, control, and response to high-threat and emerging pathogens, including emerging zoonotic pathogen
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Partially achieved
    Health emergencies
    24.3.b. Number of countries and territories performing regular monitoring/auditing of infection prevention and control practices in referral care facilities
    24.3.b. Number of countries and territories performing regular monitoring/auditing of infection prevention and control practices in referral care facilities
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Partially achieved
    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

    26.4 Countries and territories enabled to implement policies, plans, and programs to advance ethnic equality in health

    Determinants of health and cross-cutting themes
    26.4.a. Number of countries and territories implementing policies, plans, and programs to advance ethnic equality in health
    26.4.a. Number of countries and territories implementing policies, plans, and programs to advance ethnic equality in health
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Partially achieved

    26.5 Countries and territories enabled to establish and implement health-related policies, plans, and/or laws to advance the right to health and other health-related rights

    Determinants of health and cross-cutting themes
    26.5.a. Number of countries and territories using human rights norms and standards in the formulation and implementation of health-related policies, plans, programs, and legislation
    26.5.a. Number of countries and territories using human rights norms and standards in the formulation and implementation of health-related policies, plans, programs, and legislation
    Baseline value
    2023
    Target Value
    2025
    Rating:
    Partially 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