EOB 2024-2025
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Highlighted achievements
Neonatal mortality substantially reduced and maternal health strengthened
During the 2024–2025 biennium, the Dominican Republic achieved a significant reduction in neonatal mortality of 16% compared with 2024, following a set of coordinated strategic interventions carried out under national leadership and with PAHO technical cooperation, focused on strengthening comprehensive care for mothers and newborns, promoting improvements in service quality, organizing care networks, and using cost‑effective health technologies.
Primary health care strengthened through a pioneering partnership
During the 2024–2025 biennium, the Dominican Republic became the first country in the Region of the Americas to formally establish a consultative forum within the framework of the Alliance for Primary Health Care in the Americas, consolidating an innovative coordination model to strengthen the first level of care.
Advances made toward the elimination of priority communicable diseases
During the 2024–2025 biennium, the Dominican Republic consolidated sustained progress toward the elimination of priority communicable diseases by strengthening its strategic approach and progressively aligning with the Disease Elimination Initiative.
Multi hazard health preparedness strengthened and aligned with the International Health Regulations
During the 2024–2025 biennium, the Dominican Republic made sustained progress in strengthening health sector preparedness and response to emergencies and disasters, consolidating key national capacities for a more coordinated, evidence-based health response oriented toward the continuity of essential health services.
Care of noncommunicable diseases improved through public policy implementation
During the 2024–2025 biennium, the Dominican Republic made progress in consolidating public policies to improve the care of noncommunicable diseases (NCDs) through several actions implemented with technical cooperation from PAHO, including the launch of two key documents aligned with regional plans: the Strategic Plan for the Prevention and Control of NCDs 2025–2030 and the Strategic Plan for Mental Health 2025–2030.
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Outcome Indicators
| 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 | Target 2025 | Partially 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 |
| 07.b. Number of countries that have an interprofessional health team at the first level of care, consistent with their model of care | Target 2025 | Partially achieved |
| 09.a. Number of countries and territories that have achieved, by 2025, a reduction of at least 10 percentage points in the population reporting access barriers to health services, as compared to 2020 | Target 2025 | Not achieved |
| 09.b. Number of countries and territories that have reached at least 60% of their capacity to implement the essential public health functions | Target 2025 | 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 | 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 | Partially achieved |
| Outcome Indicator | Baseline/Target | Rating |
|---|---|---|
| 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 | Baseline 2019 | Achieved |
| 12.a. Number of countries and territories reporting data on discrimination in health services experienced by men who have sex with men (MSM) in the past 12 months | Baseline 2019 | Partially 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 | Partially achieved |
| 12.d. Number of countries and territories that have adequate mechanisms in place to prevent or mitigate risks to food safety | Target 2025 | Partially achieved |
| 17.a. Number of countries and territories that achieve 90% of viral suppression (viral load <1,000 copies/ml) in persons on antiretroviral therapy (ART) | Target 2025 | Achieved |
| 17.b. Number of countries and territories with >80% of malaria cases investigated and classified in areas targeted for elimination or prevention of reestablishment | Baseline 2019 | Achieved |
| 17.c [c]. Interruption of transmission of neglected infectious diseases (NID) in countries, following WHO criteria and guidelines [Dog-mediated human rabies] | Target 2025 | Not achieved |
| 17.c [e]. Interruption of transmission of neglected infectious diseases (NID) in countries, following WHO criteria and guidelines [Lymphatic filariasis] | Target 2025 | Partially achieved |
| 17.c [g]. Interruption of transmission of neglected infectious diseases (NID) in countries, following WHO criteria and guidelines [Schistosomiasis] | Target 2025 | Partially achieved |
| 17.d. Number of countries and territories with established capacity and effective processes to eliminate human rabies transmitted by dogs | Target 2025 | Not 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 | 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 | Target 2025 | 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 |
| 06.a. Number of countries and territories that minimize the time interval between road traffic crashes and the provision of first professional emergency care | Target 2025 | 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 | Partially achieved |
| 13.d. Number of countries and territories that have eliminated industrially produced trans fatty acids | Target 2025 | Partially achieved |
| 15.a. Number of countries and territories with an operational advisory committee or lead agency on road safety that supports the development and/or implementation of a national road safety strategy | Baseline 2019 | Achieved |
| 15.b. Number of countries and territories that have a national or multisectoral plan addressing violence that includes the health system | Target 2025 | 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 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 |
| Outcome Indicator | Baseline/Target | Rating |
|---|---|---|
| 21.a. Number of countries and territories with functional governance for generating and using evidence integrated into health systems | Target 2025 | 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 |
| 21.c. Number of countries and territories with established mechanisms on knowledge management, multilingualism, open access, and publishing | Target 2025 | Achieved |
| 22.a. Number of countries and territories implementing a funded policy, strategy and/or agenda on research and innovation for health | Baseline 2019 | 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 | 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
4. Response capacity for communicable diseases
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
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
6. Response capacity for violence and injuries
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
06.a. Number of countries and territories that minimize the time interval between road traffic crashes and the provision of first professional emergency care
06.a. Number of countries and territories that minimize the time interval between road traffic crashes and the provision of first professional emergency care
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
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.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
9. Strengthened stewardship and governance
Health systems, services, and life course
09.a. Number of countries and territories that have achieved, by 2025, a reduction of at least 10 percentage points in the population reporting access barriers to health services, as compared to 2020
09.a. Number of countries and territories that have achieved, by 2025, a reduction of at least 10 percentage points in the population reporting access barriers to health services, as compared to 2020
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
Health systems, services, and life course
09.b. Number of countries and territories that have reached at least 60% of their capacity to implement the essential public health functions
09.b. Number of countries and territories that have reached at least 60% of their capacity to implement the essential public health functions
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
11. Strengthened financial protection
Health systems, services, and life course
11.a. Number of countries and territories that have decreased by 20% the percentage of population in households experiencing out-of-pocket catastrophic health spending
11.a. Number of countries and territories that have decreased by 20% the percentage of population in households experiencing out-of-pocket catastrophic health spending
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
Health systems, services, and life course
11.b. Number of countries and territories that have decreased by 10% the percentage of people in households experiencing impoverishment due to out-of-pocket health expenditure
11.b. Number of countries and territories that have decreased by 10% the percentage of people in households experiencing impoverishment due to out-of-pocket health expenditure
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
12. Risk factors for communicable diseases
Communicable diseases
12.a. Number of countries and territories reporting data on discrimination in health services experienced by men who have sex with men (MSM) in the past 12 months
12.a. Number of countries and territories reporting data on discrimination in health services experienced by men who have sex with men (MSM) in the past 12 months
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 [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.c [e]. Interruption of transmission of neglected infectious diseases (NID) in countries, following WHO criteria and guidelines [Lymphatic filariasis]
17.c [e]. Interruption of transmission of neglected infectious diseases (NID) in countries, following WHO criteria and guidelines [Lymphatic filariasis]
Target Value:
2025
Baseline value:
2019
Rating:
Partially achieved
Communicable diseases
17.c [g]. Interruption of transmission of neglected infectious diseases (NID) in countries, following WHO criteria and guidelines [Schistosomiasis]
17.c [g]. Interruption of transmission of neglected infectious diseases (NID) in countries, following WHO criteria and guidelines [Schistosomiasis]
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
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
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
22. Research, ethics, and innovation for health
Information systems, evidence, and research
22.a. Number of countries and territories implementing a funded policy, strategy and/or agenda on research and innovation for health
22.a. Number of countries and territories implementing a funded policy, strategy and/or agenda on research and innovation for health
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 | 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 | 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 | Target 2025 | Not achieved |
| 02.2.c. Number of countries and territories implementing regular maternal and perinatal death reviews and audits | Target 2025 | 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.g. Number of countries and territories that have set equity-based targets for access and coverage in at least one population living in conditions of vulnerability | Target 2025 | Discrepancy |
| 03.1.a. Number of countries and territories that implement comprehensive assessments of older persons at the first level of care | Target 2025 | Partially achieved |
| 07.1.a. Number of countries and territories that are implementing a national policy on human resources for health | Target 2025 | 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 | Not achieved |
| 08.1.a. Number of countries and territories with updated national policies and/or strategies on access, quality, and use of medicines and other health technologies | Baseline 2023 | Achieved |
| 08.2.a. Number of countries and territories that have established an institutional development plan to improve regulatory capacity for health products based on the assessment of their national regulatory capacities by the Global Benchmarking Tool | Target 2025 | Achieved |
| 08.7.a. Number of countries and territories with mechanisms for health technology assessment and evidence-based incorporation, selection, management, and rational use of medicines and other health technologies | Target 2025 | 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 | Baseline 2023 | 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 | Baseline 2023 | Partially 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 | 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 | Baseline 2023 | Achieved |
| 04.3.a. Number of NID-endemic countries and territories that implement PAHO recommendations on integrated interventions to reduce the burden of NIDs through their health systems | Baseline 2023 | Achieved |
| 04.4.a. Number of countries and territories that implement PAHO/WHO recommended policies and inter programmatic approaches related to malaria | Baseline 2023 | Achieved |
| 04.5.a. Number of countries and territories with DPT3 immunization coverage of at least 95% that are implementing strategies to reach unvaccinated and under-vaccinated populations | Target 2025 | Partially 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 | Discrepancy |
| 04.6.a. Number of countries and territories that have conducted Integrated Management Strategy arbovirus evaluations | Target 2025 | Partially 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 |
| 12.4.a. Number of countries and territories that annually provide laboratory-based data on antimicrobial resistance | Baseline 2023 | Partially achieved |
| 12.5.a. Number of countries and territories reporting participation of communities in the response to HIV, TB, STIs, and viral hepatitis | Baseline 2023 | Achieved |
| 12.6.a. Number of NID-endemic countries and territories that use the framework of the WHO WASH-NTD strategy as part of their national or subnational approach to tackle NIDs | Target 2025 | Partially achieved |
| 12.8.a. Number of countries and territories that have programs to prevent or mitigate zoonotic diseases and snake/arthropod envenoming | Target 2025 | Partially 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 |
| 17.5.a. Number of countries and territories that have maintained their status as free from both wild poliovirus and circulating vaccine-derived poliovirus | Target 2025 | 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 | Target 2025 | Not achieved |
| Output (OPT) Indicator | Baseline/Target | Rating |
|---|---|---|
| 05.1.a. Number of countries and territories that are implementing evidence-based national guidelines/protocols/standards for the management of NCDs (i.e. cardiovascular disease, cancer, diabetes, and chronic respiratory disease) | Baseline 2023 | Achieved |
| 05.2.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 |
| 05.3.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 | Partially 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 | Target 2025 | Partially achieved |
| 05.5.a. Number of countries and territories that have defined a priority list of assistive devices and products | 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.c. Number of countries and territories implementing policies to reduce salt/sodium consumption in the population | Target 2025 | Partially 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.e. Number of countries and territories covered by best-practice policies to eliminate industrially produced trans-fatty acids in the food supply | Target 2025 | Partially achieved |
| 14.1.a. Number of countries and territories that are implementing national policies consistent with the WHO Global Targets 2025 for maternal, infant, and young child nutrition and the nutrition components of the Sustainable Development Goals | Baseline 2023 | Achieved |
| 14.1.b. Number of countries and territories implementing policies to protect, promote, and support optimal breastfeeding and complementary feeding practices | Target 2025 | Achieved |
| 15.2.a. Number of countries and territories that have a national multisectoral coalition/task force to prevent and respond to violence that includes the health sector | 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 | Partially achieved |
| Output (OPT) Indicator | Baseline/Target | Rating |
|---|---|---|
| 18.2.b. Number of countries implementing plans, policies, programs, and/or interventions to increase climate resilience and environmental sustainability of health care waste management practices, following WHO Guidelines | Target 2025 | 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 |
| 26.2.a. Number of countries and territories implementing policies, plans, and strategies to advance health equity | Baseline 2023 | Achieved |
| 26.3.a. Number of countries and territories implementing policies, plans, and programs to advance gender equality in health | Target 2025 | 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 |
| 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 |
| 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 | Target 2025 | Achieved |
| 22.1.a. Number of countries and territories with a defined policy framework for research for health, including appropriate funding mechanisms reported to the WHO Global Observatory on Health Research and Development | Target 2025 | 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 |
| 23.1.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 |
| 24.2.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 | Target 2025 | 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 | Partially 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 |
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
Health systems, services, and life course
02.2.c. Number of countries and territories implementing regular maternal and perinatal death reviews and audits
02.2.c. Number of countries and territories implementing regular maternal and perinatal death reviews and audits
Baseline value
2023
Target Value
2025
Rating:
Partially 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.g. Number of countries and territories that have set equity-based targets for access and coverage in at least one population living in conditions of vulnerability
02.2.g. Number of countries and territories that have set equity-based targets for access and coverage in at least one population living in conditions of vulnerability
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
4.2 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
4.3 Countries and territories enabled to implement integrated interventions to reduce the burden of neglected infectious diseases (NIDs) through their health systems
Communicable diseases
04.3.a. Number of NID-endemic countries and territories that implement PAHO recommendations on integrated interventions to reduce the burden of NIDs through their health systems
04.3.a. Number of NID-endemic countries and territories that implement PAHO recommendations on integrated interventions to reduce the burden of NIDs through their health systems
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
4.4 Countries and territories enabled to strengthen their political, technical, operational, and regulatory platform to reduce or eliminate malaria incidence
Communicable diseases
04.4.a. Number of countries and territories that implement PAHO/WHO recommended policies and inter programmatic approaches related to malaria
04.4.a. Number of countries and territories that implement PAHO/WHO recommended policies and inter programmatic approaches related to malaria
Baseline value
2023
Target Value
2025
Rating:
Achieved
4.5 Implementation and monitoring of the new Immunization Action Plan for the Americas aligned with the new global immunization plan to reach unvaccinated and under-vaccinated populations
Communicable diseases
04.5.a. Number of countries and territories with DPT3 immunization coverage of at least 95% that are implementing strategies to reach unvaccinated and under-vaccinated populations
04.5.a. Number of countries and territories with DPT3 immunization coverage of at least 95% that are implementing strategies to reach unvaccinated and under-vaccinated populations
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
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
4.6 Countries and territories supported in implementing the Integrated Management Strategy for arboviral diseases
Communicable diseases
04.6.a. Number of countries and territories that have conducted Integrated Management Strategy arbovirus evaluations
04.6.a. Number of countries and territories that have conducted Integrated Management Strategy arbovirus evaluations
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
6.2 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
7.1 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
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
8.7 Countries and territories enabled to implement processes and mechanisms for health technology assessment, incorporation, and management, and for rational use of medicines and other health technologies
Health systems, services, and life course
08.7.a. Number of countries and territories with mechanisms for health technology assessment and evidence-based incorporation, selection, management, and rational use of medicines and other health technologies
08.7.a. Number of countries and territories with mechanisms for health technology assessment and evidence-based incorporation, selection, management, and rational 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
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
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
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
12.4 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
12.5 Countries and territories enabled to identify and address HIV, TB, STIs, and VH social determinants and risk factors through multisectoral action, with the participation of public and private sectors and the engagement of civil society
Communicable diseases
12.5.a. Number of countries and territories reporting participation of communities in the response to HIV, TB, STIs, and viral hepatitis
12.5.a. Number of countries and territories reporting participation of communities in the response to HIV, TB, STIs, and viral hepatitis
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
12.6 Countries and territories enabled to build capacities to integrate the Global Strategy on Water, Sanitation and Hygiene for accelerating and sustaining progress on neglected tropical diseases into their NID interventions
Communicable diseases
12.6.a. Number of NID-endemic countries and territories that use the framework of the WHO WASH-NTD strategy as part of their national or subnational approach to tackle NIDs
12.6.a. Number of NID-endemic countries and territories that use the framework of the WHO WASH-NTD strategy as part of their national or subnational approach to tackle NIDs
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.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
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
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
14.1.b. Number of countries and territories implementing policies to protect, promote, and support optimal breastfeeding and complementary feeding practices
14.1.b. Number of countries and territories implementing policies to protect, promote, and support optimal breastfeeding and complementary feeding practices
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
15.2 Capacity of key sectors strengthened to prevent violence through multisectoral collaboration
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
15.2.a. Number of countries and territories that have a national multisectoral coalition/task force to prevent and respond to violence that includes the health sector
15.2.a. Number of countries and territories that have a national multisectoral coalition/task force to prevent and respond to violence that includes the health sector
Baseline value
2023
Target Value
2025
Rating:
Not 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
17.5 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
17.8 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.b. Number of countries implementing plans, policies, programs, and/or interventions to increase climate resilience and environmental sustainability of health care waste management practices, following WHO Guidelines
18.2.b. Number of countries implementing plans, policies, programs, and/or interventions to increase climate resilience and environmental sustainability of health care waste management practices, following WHO Guidelines
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
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
22.1 Countries and territories enabled to conduct research for health based on national health priorities
Information systems, evidence, and research
22.1.a. Number of countries and territories with a defined policy framework for research for health, including appropriate funding mechanisms reported to the WHO Global Observatory on Health Research and Development
22.1.a. Number of countries and territories with a defined policy framework for research for health, including appropriate funding mechanisms reported to the WHO Global Observatory on Health Research and Development
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
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
24.2 Proven prevention strategies for priority pandemic/epidemic-prone diseases implemented at scale
Health emergencies
24.2.a. Number of countries and territories with strategies and/or plans in place to detect and respond to high-threat and emerging pathogens, including emerging zoonotic pathogens
24.2.a. Number of countries and territories with strategies and/or plans in place to detect and respond to high-threat and emerging pathogens, including emerging zoonotic pathogens
Baseline value
2023
Target Value
2025
Rating:
Partially achieved
24.3 Countries and territories enabled to mitigate the risk and consequences of the emergence/reemergence of high-threat infectious pathogens, including emerging zoonotic pathogens, and to improve pandemic preparedness
Health emergencies
24.3.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
26.2 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
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