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
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
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
Rating: Partially achieved
4.5 Implementation and monitoring of the new Immunization Action Plan for the Americas aligned with the new global immunization plan to reach unvaccinated and under-vaccinated populations
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
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)
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Rating: Partially achieved
13.1 Countries and territories enabled to develop and implement technical packages to address risk factors through multisectoral action, with adequate safeguards in place to prevent potential conflict of interests
Noncommunicable diseases and their risk factors, mental health, violence, and injuries
13.1.b. Number of countries and territories implementing a national policy or strategy on physical activity
13.1.b. Number of countries and territories implementing a national policy or strategy on physical activity
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
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
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
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
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
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
Rating: Partially achieved
17.3 Implementation of the plan of action to eliminate perinatal transmission of hepatitis B
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
17.5 The Region of the Americas maintained free of poliomyelitis
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
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
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
Rating: Partially achieved
18.1 Countries and territories enabled to address the social determinants of health
Determinants of health and cross-cutting themes
18.1.a. Number of countries and territories that have developed national, subnational, or local health policies, plans, programs, and/or projects that address the social determinants of health and inequities
18.1.a. Number of countries and territories that have developed national, subnational, or local health policies, plans, programs, and/or projects that address the social determinants of health and inequities
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
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
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
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
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
Rating: Partially achieved
23.1 All-hazards emergency preparedness capacities in countries and territories assessed and reported
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)
23.2 Countries and territories enabled to strengthen capacities for emergency preparedness
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
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
23.3 Countries and territories operationally ready to assess and manage identified risks and vulnerabilities
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
23.4 Countries and territories enabled to improve the safety and security of integrated health services networks
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
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
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
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
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
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
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
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
Rating: Partially achieved