EOB 2024-2025
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Highlighted achievements
Health governance and workforce planning capacity strengthened
During the 2024–2025 biennium, PAHO contributed to strengthening Dominica’s health governance and stewardship by reinforcing core system capacities that underpin access to quality services. Through direct technical cooperation delivered by the Eastern Caribbean Countries office, PAHO supported national efforts to strengthen health workforce governance, with a focus on health workforce planning and forecasting.
Access to medicines increased and supply chain resilience strengthened
During the biennium, PAHO played a key role in strengthening Dominica’s capacity to improve access to safe, effective, and quality-assured medicines and health technologies. Through subregional cooperation mechanisms and targeted country support, PAHO provided technical recommendations to the national regulatory authority to strengthen pharmaceutical supply chain management and regulatory practices. This included guidance to improve the national medical oxygen system at the Dominica–China Friendship Hospital, addressing a critical component of essential clinical care and emergency readiness. These actions were embedded within broader efforts to strengthen collaboration between countries and regional partners and to promote the effective use of PAHO’s Regional Revolving Funds, enhancing coordination, transparency, and resilience in procurement and supply systems.
Capacity enhanced to address the social and environmental determinants of health
In the context of increasing climate and social vulnerabilities, PAHO supported Dominica in strengthening its national capacity to address the social and environmental determinants of health through intersectoral and evidence-based action.
Integrated mental health services strengthened within primary care
PAHO contributed significantly to improving Dominica’s capacity to reorganize and integrate mental health services into primary health care during the 2024–2025 biennium. Through a multicountry strategy implemented in collaboration with national authorities, PAHO provided direct technical assistance to strengthen mental health governance, service capacity, and community-based approaches. In Dominica, workforce competencies were reinforced through training in accordance with internationally accepted standards and QualityRights-related actions, equipping primary care providers with standardized tools to identify, manage, and refer mental health conditions.
Emergency preparedness and response capacities reinforced
PAHO supported Dominica in strengthening national capacities for all-hazards health emergency preparedness and response throughout the biennium. Through direct technical cooperation and training, Dominica completed key preparedness and response activities, including training in mass casualty management, incident command system, emergency care, and surveillance-related training supported by PAHO.
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Outcome Indicators
| Outcome Indicator | Baseline/Target | Rating |
|---|---|---|
| 01.b. Number of countries and territories that have implemented strategies to strengthen the response capacity of the first level of care | Target 2025 | Partially achieved |
| 10.a. Number of countries and territories that have increased public expenditure on health to at least 6% of GDP | Target 2025 | Not achieved |
| Outcome Indicator | Baseline/Target | Rating |
|---|---|---|
| 04.c. Number of countries and territories with at least 95% coverage of syphilis treatment in pregnant women | Baseline 2019 | Not 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 | 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 | Not achieved |
| 04.j. Number of countries and territories that have incorporated HPV vaccines in their national vaccination program | Target 2025 | Achieved |
| 17.b. Number of countries and territories with >80% of malaria cases investigated and classified in areas targeted for elimination or prevention of reestablishment | Baseline 2019 | Achieved |
| 17.c [c]. Interruption of transmission of neglected infectious diseases (NID) in countries, following WHO criteria and guidelines [Dog-mediated human rabies] | Baseline 2019 | Achieved |
| 17.d. Number of countries and territories with established capacity and effective processes to eliminate human rabies transmitted by dogs | Baseline 2019 | Achieved |
| Outcome Indicator | Baseline/Target | Rating |
|---|---|---|
| 05.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 2025 | Not achieved |
| 13.d. Number of countries and territories that have eliminated industrially produced trans fatty acids | Target 2025 | Not achieved |
| 15.a. Number of countries and territories with an operational advisory committee or lead agency on road safety that supports the development and/or implementation of a national road safety strategy | Baseline 2019 | Achieved |
| Outcome Indicator | Baseline/Target | Rating |
|---|---|---|
| 18.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 | Target 2025 | Achieved |
| Outcome Indicator | Baseline/Target | Rating |
|---|---|---|
| 21.b. Number of countries and territories that generate, analyze, and use data and information according to health priorities, disaggregated by geopolitical and demographic strata, as appropriate to the national context | Target 2025 | Partially achieved |
| 21.c. Number of countries and territories with established mechanisms on knowledge management, multilingualism, open access, and publishing | Target 2025 | Achieved |
| Outcome Indicator | Baseline/Target | Rating |
|---|---|---|
| 23.a. Number of countries and territories that meet or exceed minimum capacities to manage public health risks associated with emergencies | Baseline 2019 | Achieved |
| 23.b. Number of States Parties meeting and sustaining International Health Regulations (IHR) requirements for core capacities | Target 2025 | Achieved |
| 24.a. Number of countries and territories with installed capacity to effectively respond to major epidemics and pandemics | Target 2025 | Achieved |
| Outcome Indicator | Baseline/Target | Rating |
|---|---|---|
| 27.a. Proportion of countries and territories where the national health authority reports satisfaction with PAHO/WHO’s leading role on global and regional health issues | Target 2025 | Achieved |
| 27.b. Number of countries and territories for which there is alignment between the national health policy, strategy, or plan and the outcomes defined in the PAHO Strategic Plan 2020-2025 | Target 2025 | Achieved |
1. Access to comprehensive and quality health services
Health systems, services, and life course
01.b. Number of countries and territories that have implemented strategies to strengthen the response capacity of the first level of care
01.b. Number of countries and territories that have implemented strategies to strengthen the response capacity of the first level of care
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
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.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.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
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
13. Risk factors for noncommunicable diseases
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
13.d. Number of countries and territories that have eliminated industrially produced trans fatty acids
13.d. Number of countries and territories that have eliminated industrially produced trans fatty acids
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
15. Intersectoral response to violence and injuries
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
15.a. Number of countries and territories with an operational advisory committee or lead agency on road safety that supports the development and/or implementation of a national road safety strategy
15.a. Number of countries and territories with an operational advisory committee or lead agency on road safety that supports the development and/or implementation of a national road safety strategy
Target Value:
2025
Baseline value:
2019
Rating:
Achieved
17. Elimination of communicable diseases
Communicable diseases
17.b. Number of countries and territories with >80% of malaria cases investigated and classified in areas targeted for elimination or prevention of reestablishment
17.b. Number of countries and territories with >80% of malaria cases investigated and classified in areas targeted for elimination or prevention of reestablishment
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
Communicable diseases
17.c [c]. Interruption of transmission of neglected infectious diseases (NID) in countries, following WHO criteria and guidelines [Dog-mediated human rabies]
17.c [c]. Interruption of transmission of neglected infectious diseases (NID) in countries, following WHO criteria and guidelines [Dog-mediated human rabies]
Target Value:
2025
Baseline value:
2019
Rating:
Not achieved
Communicable diseases
17.d. Number of countries and territories with established capacity and effective processes to eliminate human rabies transmitted by dogs
17.d. Number of countries and territories with established capacity and effective processes to eliminate human rabies transmitted by dogs
Target Value:
2025
Baseline value:
2019
Rating:
Not achieved
18. Social and environmental determinants
Determinants of health and cross-cutting themes
18.h. Number of countries and territories with capacity to address the health-related effects of climate change
18.h. Number of countries and territories with capacity to address the health-related effects of climate change
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
19. Health promotion and intersectoral action
Determinants of health and cross-cutting themes
19.a. Number of countries and territories that implement the Health in All Policies framework to improve health equity as well as health and well-being
19.a. Number of countries and territories that implement the Health in All Policies framework to improve health equity as well as health and well-being
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
21. Data, information, knowledge, and evidence
Information systems, evidence, and research
21.b. Number of countries and territories that generate, analyze, and use data and information according to health priorities, disaggregated by geopolitical and demographic strata, as appropriate to the national context
21.b. Number of countries and territories that generate, analyze, and use data and information according to health priorities, disaggregated by geopolitical and demographic strata, as appropriate to the national context
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
Information systems, evidence, and research
21.c. Number of countries and territories with established mechanisms on knowledge management, multilingualism, open access, and publishing
21.c. Number of countries and territories with established mechanisms on knowledge management, multilingualism, open access, and publishing
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
23. Health emergencies preparedness and risk reduction
Health emergencies
23.a. Number of countries and territories that meet or exceed minimum capacities to manage public health risks associated with emergencies
23.a. Number of countries and territories that meet or exceed minimum capacities to manage public health risks associated with emergencies
Target Value:
2025
Baseline value:
2019
Rating:
Not achieved
Health emergencies
23.b. Number of States Parties meeting and sustaining International Health Regulations (IHR) requirements for core capacities
23.b. Number of States Parties meeting and sustaining International Health Regulations (IHR) requirements for core capacities
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
24. Epidemic and pandemic prevention and control
Health emergencies
24.a. Number of countries and territories with installed capacity to effectively respond to major epidemics and pandemics
24.a. Number of countries and territories with installed capacity to effectively respond to major epidemics and pandemics
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
27. Leadership and governance
Leadership, governance, and enabling functions
27.a. Proportion of countries and territories where the national health authority reports satisfaction with PAHO/WHO’s leading role on global and regional health issues
27.a. Proportion of countries and territories where the national health authority reports satisfaction with PAHO/WHO’s leading role on global and regional health issues
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
Leadership, governance, and enabling functions
27.b. Number of countries and territories for which there is alignment between the national health policy, strategy, or plan and the outcomes defined in the PAHO Strategic Plan 2020-2025
27.b. Number of countries and territories for which there is alignment between the national health policy, strategy, or plan and the outcomes defined in the PAHO Strategic Plan 2020-2025
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
Output Indicators
| Output (OPT) Indicator | Baseline/Target | Rating |
|---|---|---|
| 01.1.a. Number of countries and territories with frameworks in place for integrated health service delivery networks (IHSDN) to improve the resolution capacity of the first level of care and integrate priority programs, including NCDs and the elimination agenda | Target 2025 | Partially achieved |
| 01.2.a. Number of countries and territories implementing strategies and/or plans of action to improve quality of care in health service delivery | Target 2025 | Partially 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 |
| 07.1.a. Number of countries and territories that are implementing a national policy on human resources for health | Target 2025 | Partially achieved |
| 07.2.a. Number of countries and territories with a norm that defines the capacities and scope of practice of inter-professional teams at the first level of care | Target 2025 | Partially achieved |
| 08.1.a. Number of countries and territories with updated national policies and/or strategies on access, quality, and use of medicines and other health technologies | Target 2025 | Partially achieved |
| 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 | Partially 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 | Target 2025 | Partially achieved |
| 10.1.a. Number of countries and territories implementing equitable health financing strategies and reforms to sustain progress toward universal health, including specific strategies to progressively increase public expenditure in health in a sustainable manner | Target 2025 | Not achieved |
| 11.1.a. Number of countries and territories implementing specific strategies to eliminate or diminish direct payments at the point of service | Target 2025 | Partially achieved |
| Output (OPT) Indicator | Baseline/Target | Rating |
|---|---|---|
| 04.1.a. Number of countries and territories implementing national norms, standards, and tools aligned with PAHO and WHO guidelines on TB, HIV, STIs, and VH, with emphasis on key and vulnerable populations | Target 2025 | Achieved |
| 04.2.a. Number of countries and territories implementing the new arboviral disease guidelines for patient care in the Region of the Americas | Target 2025 | Partially achieved |
| 12.3.a. Number of countries and territories with an established multisectoral coordinating mechanism to oversee national strategies to combat antimicrobial resistance | Target 2025 | Not achieved |
| 12.4.a. Number of countries and territories that annually provide laboratory-based data on antimicrobial resistance | Target 2025 | 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 |
| 17.3.a. Number of countries and territories that administer hepatitis B vaccine to newborns during the first 24 hours | Baseline 2023 | Achieved |
| 17.5.a. Number of countries and territories that have maintained their status as free from both wild poliovirus and circulating vaccine-derived poliovirus | Baseline 2023 | Achieved |
| 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 2023 | Partially 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 |
| 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) | Target 2025 | Partially 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 | Not achieved |
| 05.2.b. Number of countries and territories with implementation plans for population-based surveys developed with direct support from PASB | 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 | Target 2025 | Achieved |
| 06.1.a. Number of countries and territories that have a single emergency care access number with full national coverage | Target 2025 | Not achieved |
| 13.1.d. Number of countries and territories implementing policies and/or actions to regulate unhealthy food and drink products | Target 2025 | Partially 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 | Target 2025 | Not 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 | Target 2025 | Partially 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 | Target 2025 | Partially achieved |
| Output (OPT) Indicator | Baseline/Target | Rating |
|---|---|---|
| 18.2.e. Number of countries and territories implementing plans, policies, programs, and/or interventions to prepare health systems and reduce health risks associated with climate change | Target 2025 | Achieved |
| 26.2.a. Number of countries and territories implementing policies, plans, and strategies to advance health equity | Target 2025 | Partially achieved |
| 26.3.a. Number of countries and territories implementing policies, plans, and programs to advance gender equality in health | Target 2025 | Partially achieved |
| Output (OPT) Indicator | Baseline/Target | Rating |
|---|---|---|
| 20.1.a. Number of countries and territories that have developed and implemented a plan to strengthen information systems for health based on PAHO’s IS4H maturity assessment model | Target 2025 | 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 |
| 20.3.a. Number of countries and territories implementing digital health strategies or roadmaps, aligned with the regional policy and global strategy | Target 2025 | Partially achieved |
| 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 | Target 2025 | Not achieved |
| 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 |
| 23.2.a. Number of States Parties with national action plans developed for strengthening International Health Regulations (2005) core capacities | Target 2025 | Discrepancy |
| 23.2.b. Number of countries and territories with full-time staff assigned to health emergencies | Baseline 2023 | Partially achieved |
| 23.3.a. Number of States Parties that have conducted simulation exercises or after-action review | Target 2025 | Achieved |
| 23.5.a. Number of countries and territories that include criteria for disaster mitigation and climate change adaptation in the planning, design, construction, and operation of health services | Baseline 2023 | Achieved |
| 24.2.a. Number of countries and territories with strategies and/or plans in place to detect and respond to high-threat and emerging pathogens, including emerging zoonotic pathogens | Baseline 2023 | Achieved |
| 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
2.2 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
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
4.2 Countries and territories enabled to effectively manage cases of arboviral diseases
Communicable diseases
04.2.a. Number of countries and territories implementing the new arboviral disease guidelines for patient care in the Region of the Americas
04.2.a. Number of countries and territories implementing the new arboviral disease guidelines for patient care in the Region of the Americas
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
5.1 Countries and territories enabled to provide quality, people-centered health services for noncommunicable diseases, based on primary health care strategies and comprehensive essential service packages
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
05.1.a. Number of countries and territories that are implementing evidence-based national guidelines/protocols/standards for the management of NCDs (i.e. cardiovascular disease, cancer, diabetes, and chronic 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
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
05.2.b. Number of countries and territories with implementation plans for population-based surveys developed with direct support from PASB
05.2.b. Number of countries and territories with implementation plans for population-based surveys developed with direct support from PASB
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
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
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
7.1 Countries and territories have formalized and initiated implementation of a national policy on human resources for health
Health systems, services, and life course
07.1.a. Number of countries and territories that are implementing a national policy on human resources for health
07.1.a. Number of countries and territories that are implementing a national policy on human resources for health
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
7.2 Countries and territories have developed inter-professional teams at the first level of care with combined capacities for integrated care
Health systems, services, and life course
07.2.a. Number of countries and territories with a norm that defines the capacities and scope of practice of inter-professional teams at the first level of care
07.2.a. Number of countries and territories with a norm that defines the capacities and scope of practice of inter-professional teams at the first level of care
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
8.1 Countries and territories enabled to develop/update, implement, monitor, and evaluate national policies and regulations for timely and equitable access to medicines and other health technologies
Health systems, services, and life course
08.1.a. Number of countries and territories with updated national policies and/or strategies on access, quality, and use of medicines and other health technologies
08.1.a. Number of countries and territories with updated national policies and/or strategies on access, quality, and use of medicines and other health technologies
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
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
10.1 Countries and territories enabled to develop and implement financial strategies for universal access to health and universal health coverage
Health systems, services, and life course
10.1.a. Number of countries and territories implementing equitable health financing strategies and reforms to sustain progress toward universal health, including specific strategies to progressively increase public expenditure in health
10.1.a. Number of countries and territories implementing equitable health financing strategies and reforms to sustain progress toward universal health, including specific strategies to progressively increase public expenditure in health in a sustainable manner
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
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
12.3 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
12.8 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
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.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.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
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
17.5 The Region of the Americas maintained free of poliomyelitis
Communicable diseases
17.5.a. Number of countries and territories that have maintained their status as free from both wild poliovirus and circulating vaccine-derived poliovirus
17.5.a. Number of countries and territories that have maintained their status as free from both wild poliovirus and circulating vaccine-derived poliovirus
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
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
17.8 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
18.2 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.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
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
20.3 Countries and territories enabled to adand implement digital health strategies
Information systems, evidence, and research
20.3.a. Number of countries and territories implementing digital health strategies or roadmaps, aligned with the regional policy and global strategy
20.3.a. Number of countries and territories implementing digital health strategies or roadmaps, aligned with the regional policy and global strategy
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
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
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
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
23.5 Countries and territories enabled to implement the most feasible climate-smart and safety standards in selected health facilities to improve their resilience and reduce their impact on the environment
Health emergencies
23.5.a. Number of countries and territories that include criteria for disaster mitigation and climate change adaptation in the planning, design, construction, and operation of health services
23.5.a. Number of countries and territories that include criteria for disaster mitigation and climate change adaptation in the planning, design, construction, and operation of health services
Baseline value
2023
Target Value
2025
Rating:
Not achieved
24.2 Proven prevention strategies for priority pandemic/epidemic-prone diseases implemented at scale
Health emergencies
24.2.a. Number of countries and territories with strategies and/or plans in place to detect and respond to high-threat and emerging pathogens, including emerging zoonotic pathogens
24.2.a. Number of countries and territories with strategies and/or plans in place to detect and respond to high-threat and emerging pathogens, including emerging zoonotic pathogens
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
26.2 Countries and territories enabled to implement policies, plans, and strategies to advance health equity
Determinants of health and cross-cutting themes
26.2.a. Number of countries and territories implementing policies, plans, and strategies to advance health equity
26.2.a. Number of countries and territories implementing policies, plans, and strategies to advance health equity
Baseline value
2023
Target Value
2025
Rating:
Not achieved
26.3 Countries and territories enabled to implement policies, plans, and programs to advance gender equality in health
Determinants of health and cross-cutting themes
26.3.a. Number of countries and territories implementing policies, plans, and programs to advance gender equality in health
26.3.a. Number of countries and territories implementing policies, plans, and programs to advance gender equality in health
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